Endocrine Abstracts

Case history: A 54 year old Polish gentleman was admitted to a large northern teaching hospital, with life threatening hypercalcaemia, requiring renal replacement therapy. He presented with extreme fatigue and lethargy, with a significant reduction in mobility and exercise tolerance. Further initial history was hampered by language barrier and an increasingly moribund patient.Investigations: Base line blood work up revealed stage 3 AKI, with a liver bone...

A 60 year old lady presented to her GP with symptoms, she described as ‘morning sickness’.She also reported nausea (better after eating), mild epigastric discomfort.Examination revealed a soft non tender abdomen, with no organomegaly.She was referred for urgent upper GI endoscopy and abdominal USS.Initial bloods showed impaired liver function,...

A 60 year old lady presented to her GP with symptoms, she described as ‘morning sickness’.She also reported nausea (better after eating), mild epigastric discomfort.Examination revealed a soft non tender abdomen, with no organomegaly.She was referred for urgent upper GI endoscopy and abdominal USS.Initial bloods showed impaired liver function,...

Case history: A 74 year old female was treated for hyperthyroidism of uncertain aetiology by her general practitioner. Carbimazole had been continued for 15 years - current dose 5 mg daily. Following referral to endocrine outpatients, consideration was given to stopping carbimazole as this treatment was possibly no longer required, although a small risk of relapse was accepted. Prior to stopping carbimazole, Free T4 - 10.5 pmol/l (7.5–21.1), TSH - 0.61 mU/l (0.35–4.7...