Searchable abstracts of presentations at key conferences in endocrinology
Previous issue | Volume 45 | BSPED2016 | Next issue

44th Meeting of the British Society for Paediatric Endocrinology and Diabetes

ea0045p1 | Adrenal | BSPED2016

Assessment of parental knowledge of the management of acute illness in children on long-term steroids

Sloan Sarah , Newsome Helen , Dane Carole , Natarajan Anuja

Introduction: Children on long-term steroids are at risk of Addisonian crisis during acute illnesses unless their dose is increased. To prevent this parents receive teaching on correct management if their child becomes unwell. We looked at the effectiveness of this education by assessing parental knowledge.Methodology: Parents of all children taking long-term steroids under paediatric endocrinology at our hospital between November 2015 and May 2016 were ...

ea0045p2 | Adrenal | BSPED2016

Assessment of staff knowledge of the management of acute illness in children on long term steroids in a large DGH offered Tertiary Paediatric Endocrine services

Newsome Helen , Natarajan Anuja

Introduction: Children on long-term steroid treatment are at risk of developing an Addisonian crisis during an acute illness unless their steroid dose is increased appropriately. It is essential for all staff involved in the care and management of such patients (Paediatric Nurses, Paediatric Doctors, ED Doctors) to be familiar with the relevant management guidelines.Methodology: Between November 2015 and May 2016 Paediatric and ED nursing and medical sta...

ea0045p3 | Adrenal | BSPED2016

Rationalising the number of cortisol assays in our low dose synacthen test

Chacko Alisha , Patel Sejal , Ryan Fiona

Objectives: Secondary Adrenal Insufficiency is diagnosed using an ACTH stimulation test. There is no clear evidence that either a Low dose Synacthen Test (LDST) or a Short Synacthen Test is more superior in diagnosis. In our service, we routinely use LDST to investigate adrenal function. There is a lack of standardisation regarding timing, dose and frequency whilst undertaking a LDST leading to diagnostic inconsistencies. We routinely measure baseline cortisol levels, then at ...

ea0045p4 | Adrenal | BSPED2016

Misleading biochemical picture in infants prior to the confirmatory diagnosis of Congenital Adrenal Hyperplasia (CAH)

Mohamed Zainaba , Benson Joanna , Law James , Denvir Louise , Sachdev Pooja , Randell Tabitha

Introduction: Adrenal insufficiency is a rare cause of life-threatening hyponatraemic collapse in the neonatal period. The initial investigations taken at the time of presentation, and prior to the institution of hydrocortisone, are a key step in the diagnostic pathway.Aim: We present a case series where the initial biochemical test results could have led to a delay in diagnosis or early discontinuation of hydrocortisone.Ca...

ea0045p5 | Adrenal | BSPED2016

Reviewing the protocol for the standard short synacthen test

Candler T , Daskas N , Crowne EC

Introduction: Assessing cortisol status is a key endocrine investigation, to identify those who need glucocorticoid replacement or emergency sickness cover either due to primary or secondary cortisol deficiency or after long-term/high dose steroid treatment causing Hypothalamic-Pituitary-Adrenal axis (HPAA) suppression. A short synacthen test (SST) measuring cortisol levels after administration of Synthetic ACTH at time zero, 30 and 60 minutes is commonly used. A normal respon...