Endocrine Abstracts

Background: The treatment of choice for symptomatic primary hyperparathyroidism (PHPT) is surgery, however in many cases patient choice or medical comorbidities preclude this treatment modality.Aim: This audit examines the use of cinacalcet in management of primary hyperparathyroidism in a district general hospital to determine if it is in accordance with the National institute for health and care excellence (NICE) guidance (May 2019).<p class="abste...

Introduction: Thyroid Storm is a life-threatening but rare (incidence 0.2 per 100 000) disease state which presents as an extreme form of thyrotoxicosis. A hyper-metabolic state resulting from excessive thyroid hormone release which can be precipitated by both thyroidal and non-thyroidal illness.Case: In this case we discuss a 72 year old female with previously treated Graves disease who presented in thyroid storm one week after annual flu vaccination. O...

Section 1: Case history: A 38 year old man with no significant past medical history presented to the emergency department with a sudden onset, severe frontal headache. He had been experiencing peripheral visual disturbance for six days prior to this. Routine observations including blood pressure were normal on arrival. Neurological examination of the upper and lower limbs revealed no abnormalities. Bedside visual field test demonstrated significant loss of peripheral vision bi...