Endocrine Abstracts

Case history: 29 year old lady presented to A&E with UTI. She had a history of emotionally unstable personality disorder and was an elective inpatient in a psychiatric hospital at the time of her presentation. Blood tests done on admission showed that she was hypercalcaemic. She was treated for UTI and referred to endocrinology. Biochemistry tests were in keeping with familial hypocalciuric hypercalcaemia (FHH). It transpired that her father and sister also had hypercalcae...

IntroductionParathyroid carcinoma is a very rare phenomenon with an estimated prevalence of 0.005% of all cancers. There have been fewer than ten cases of parathyroid carcinoma in pregnancy previously reported in literature. Clinical features are similar to primary hyperparathyroidism and the diagnosis is usually made on surgery or histology. We present a unique case of parathyroid carcinoma in pregnancy where ventricular bigeminy was the presenting feat...

Acute fatty liver of pregnancy (AFLP) is a rare obstetric metabolic emergency (UK incidence 1/20.000 maternities) which typically presents in 3rd trimester or postpartum and has a high maternal and foetal mortality and morbidity (UK Maternal mortality 1.8%, perinatal mortality 104/1000 births). Diagnosis can be delayed due to lack of set diagnostic criteria, rarity and overlapping clinical presentation with many other obstetric metabolic pathologies. Urgent delivery...

Thyroid uptake scan is a widely used thyroid investigation that provides valuable information regarding the structure and function of the gland and helps in differentiating some of the common thyroid pathologies. We present a multicentre audit of thyroid uptake scans done for non-malignant thyroid pathologies and try to analyse the usefulness of this investigation in different situations.MethodsThis audit includes thyroid uptake sc...

IntroductionWe present the case of a 50-year-old lady who was referred to the endocrine clinic with a clinical and biochemical picture suggestive of severe thyrotoxicosis. CT scan of thorax, abdomen and pelvis (CT TAP) was performed to rule out malignancy, which showed left lobe agenesis.Case50-year-old lady presented to the GP with hyperhidrosis and unintentional weight loss. She also reported symptoms of le...

We would like to report an interesting case of Graves’ disease which presented with thymic hyperplasia, bilateral generalised lymphadenopathy and hypercalcaemia, along with other typical manifestations of hyperthyroidism. A 53 year old lady was admitted following an opioid overdose as she was suffering from depression after a recent slipped disc injury which had resulted in poor mobility. She suffered an out of hospital respiratory arrest, underwent cardiopulmonary resusc...

Background: The main dilemma in hyponatraemia management is that of fluid restriction vs fluid administration. Inappropriate fluid management may result in either cerebral oedema/death or permanent neurologic disability due to rapid sodium correction. Objective: We explore the utility of point of care ultrasound (POCUS) as an adjunct tool for assessing 3-volume groups (Hypovolaemia, Euvolaemia & Hypervolaemia) in severe hyponatraemia (Na<120 mmol...