Endocrine Abstracts

A 23-year-old gentleman with a 9-month history of extreme tiredness, muscle aches and pains, weight gain, cold intolerance and constipation presented to hospital with severe lethargy and dizziness and vacant episodes of increasing frequency. Initial examination revealed him to have a pulse rate of around 66 beats per minute. He was haemodynamically stable. A resting ECG showed an elevated ST segment of more than 2 mm with descent to an upward convexity to an inverted T wave es...

Introduction: 90-95% of patients with primary hypothyroidism respond well to levothyroxine (L-T4) therapy. A minority remain symptomatic despite optimised L-T4 therapy. There is limited evidence supporting the role of liothyronine (L-T3) in this subgroup of patients. By looking at 3- and 6-month trials, we aim to review our practice of L-T4/l-T3 therapy.Method: We reviewed medical and pharmacy records of all patients receiving L-T4/l-T3 therapy from Janu...

Introduction: Laparoscopic adrenalectomy is the gold standard treatment for adrenal lesions. High volume centres with input from endocrinologists and urologists with a special interest in adrenal lesions may have best outcomes. Aims: To audit our practice and set standards with reference to preoperative workup and postoperative follow-up. This is a single centre, single surgeon experience of surgical adrenalectomy.Material & Method: Over a 10 year pe...