Searchable abstracts of presentations at key conferences in endocrinology
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Society for Endocrinology Endocrine Update 2022

ea0082p1 | Poster Presentations | SFEEU2022

Pseudohypoparathyroidism presenting with extensive bone lytic lesion histology proven Brown tumours

Eltayeb Randa , Sahoo Saroj , ISLAM Quazi , Eldigair Hiba , Armeni Eleni , Patel Dipesh , Karra Efthimia , Yousseif Ahmed , Khoo Bernard

Summary: 59-year-old female diagnosed at the age of 41 in 2004 with pseudohypoparathyroidism (PHP) initially presenting with raised PTH 152 pmol/l (1.6-6.9), Phosphate 1.91 mmol/l (0.87-1.45), adjusted calcium 1.90 mmol/l (2.20-2.60), raised ALP 600 units/l (0-129) and low vitamin D 29 nmol/l. Since diagnosis started on alfacalcidol 1 mg daily and Calcichew-D3. Investigations by hepatology team in the view of persistently raised ALP showed normal liver ultrasound, Fibroscan an...

ea0082p2 | Poster Presentations | SFEEU2022

A curious case of hypokalaemia causing VF cardiac arrest in a young adult male

Vivienne Obi Ngozi , Mendis Budd

History: The patient is a 30 year old man who was admitted by ambulance following a witnessed collapse. He had arrived from out of state to visit family and they had spent most of the day house hunting and afterwards, gone out for drinks. It was here that he collapsed and became unconscious, with immediate bystander CPR given, until arrival of the crew who carried out a 25 minute resuscitation with six shocks given. He was intubated and transported to the hospital into the int...

ea0082p3 | Poster Presentations | SFEEU2022

Rare Cause of hypopituitarism –A diagnostic dilemma! Beyond hormones

Ali Sadaf , Mumdzic Enis , Kabuli Asim , Younis Gosal David

Case history: We report an interesting case of a rare cause of hypopituitarism where our patient presented to the hospital with acute onset headache, vomiting, and feeling generally unwell. Investigations/Results: On routine bloods, he was found to have hyponatremia. On further workup of hyponatremia, he had low morning cortisol which was confirmed as secondary adrenal insufficiency on dynamic function testing. He was also deficient in gonadotrophins alo...

ea0082p4 | Poster Presentations | SFEEU2022

Late presentation of a rare cause of Primary Amenorrhoea

Iftikhar Muhammad , Aung Koko , Ogunko Arthur , Abedo Itopa , Srikugan Lanitha , Mohandas Cynthia

Case History: A 20-year-old lady was referred by GP to the endocrine clinic with frequent and gradually worsening non-specific headaches and primary amenorrhoea. She denied cyclical pelvic pain, acne, hirsutism or anosmia. She consulted her GP for delay in menarche when she was 16 years old but was advised to wait until the age of 18 years but unfortunately it was the middle of the Covid-19 pandemic and hence the delay in the referral. There was past medical history of migrain...

ea0082p5 | Poster Presentations | SFEEU2022

Noninsulinoma pancreatogenous hypoglycemia syndrome (NIPHS)- a therapeutic challenge

Iqbal Fizzah , Witczak Justyna

Case History: 39-year- old female presented to Endocrine services in 2002 with recurrent symptomatic fasting and post-prandial hypoglycaemia. No other medical history of significance noted.Investigations: Short synacthen test, oral glucose tolerance test (OGTT), several supervised 72- hour fasts. Imaging (anatomic and function) included CT A-P, EBUS, Octreotide scan and MRI Pancreas. Results: Short Synacthen test: Basal Cortisol 25...

ea0082p6 | Poster Presentations | SFEEU2022

Endocrinopathy behind the facemask

Nyunt Sandhi , Avari Parizad , Tarigopula Giridhar , Mitchell Catherine , Yong Ling Yong , Martin Niamh

Case history: A 44-year-old gentleman presented to A&E with a 2-week history of fevers and rigors. He gave a background history of hypertension. He was noted to have new onset atrial fibrillation with rapid ventricular response, and a new diagnosis of hypertrophic obstructive cardiomyopathy (HOCM) was made on echocardiography. A vegetation identified on the mitral valve led to an unexpected diagnosis of infective endocarditis. Antibiotic treatment for infective endocarditi...

ea0082p7 | Poster Presentations | SFEEU2022

Widespread skin hypopigmentation caused by finasteride when used for female hirsutism

Bawden David , Stratos Efstratios , Swe Myint Khin

Case history: A 39 year old lady was referred to endocrinology with hirsutism. In the clinic, the pattern of hair growth was confirmed as androgenic, she had cliteromegaly and family members had commented on her voice deepening. She underwent menarche at 13 years old, has menorrhagia and has had hirsutism her entire adult life that had recently worsened. Her biochemistry confirmed hyperandrogenism with non-suppressed LH/FSH. At her second appointment after serious pathology ha...

ea0082p8 | Poster Presentations | SFEEU2022

Cushing’s or not Cushing’s!

Gharib Ahmed Ahmed M , Yajnik Parag , Thirumoolasangu Uma Ranjani

Case History: A 71-year-old man with well controlled hypertension and left eye blindness due to congenital toxoplasma chorioretinitis presented to his GP with worsening headache. Initial CT head revealed a massive left parasellar lesion (32*25*36 mm) with suprasellar extension. Gadolinium-enhanced MRI revealed large cystic sellar mass, marked chiasmal compression and total encasement of Left carotid artery. 48 hours after MRI he was admitted acute severe right abdominal pain. ...

ea0082p9 | Poster Presentations | SFEEU2022

Late local recurrence of an adrenal tumour presenting with Cushing’s disease

Yamamoto Thomsen Anna , Morganstein Daniel , Smellie James , Nichol David , Scott Rebecca

Section 1: Case history: A 68 year old lady presented with a 2 week history of pedal swelling, with large blisters appearing on her feet. Her past medical history included adrenal Cushing”s treated with a right laparoscopic adrenalectomy on a 4.7x5.2 cm lipid poor adenoma 12 years previously; she had been discharged 7 years ago after repeated normal overnight dexamethasone suppression tests. Over the last year she had gained 12 kg in weight and been diagnosed with type 2 ...

ea0082p10 | Poster Presentations | SFEEU2022

Familial hypocalciuric hypercalcaemia or multiple endocrine neoplasia 1? – when assay interference challenges the diagnosis

Vanderpant Natalie , D Boyle Luke , Bech Paul , Mitchell Catherine , Tan Tricia , Morganstein Daniel L

Case history: An asymptomatic 26-year-old female was found to have hypercalcaemia with an associated normal PTH and vitamin D deficiency on blood tests in primary care. She was referred to the endocrinology clinic for further assessment. There was no history of renal calculi, constipation or fractures. The patient was taking the combined oral contraceptive pill only. There was a family history of hypercalcaemia, with an uncle affected in his 50s and a first cousin in his 20s. ...

ea0082p11 | Poster Presentations | SFEEU2022

A bronchogenic cyst presenting as an adrenal cyst

Abdalraheem Ali , Dhere Archana , Banerjee Ritwik

Case history: A 26-year-old female presented with acute left-sided loin pain. There was a preceding dull ache for two months. She had no dysuria or haematuria. Her past medical history was unremarkable except for rhinosinusitis. Investigations: Abdominal CT revealed oval shaped lesion adjacent to the upper pole of the left kidney. The left adrenal gland could not be separately visualized. The lesion had mass effect on the fundus of the stomach. Adrenal M...

ea0082p12 | Poster Presentations | SFEEU2022

Abstract Withdrawn...

ea0082p13 | Poster Presentations | SFEEU2022

A rare case of Adrenal Incidentaloma

Irshad Shadman , Patil Aashutosh , Hamad Adeel , Adam Safwaan

A usually fit 41-Year-old female was incidentally found to have a 9 cm left-sided adrenal mass during radiological investigations prior to an appendicectomy for acute appendicitis. She did not demonstrate any clinical features of adrenal hormone hyper- or hypofunction.Investigation: Further investigations were carried out to determine the nature of the mass and biochemically assess adrenal function. These revaled normal metanephrines: plasma metanephrine...

ea0082p14 | Poster Presentations | SFEEU2022

A functioning pancreatic neuroendocrine tumour presenting as diarrhoea with hypokalaemic acidosis

Rafique Shemitha , Carroll Paul

Case history: 58 year old man presented with collapse secondary to profuse water diarrhoea. He had severe AKI, hypokalaemia, metabolic acidosis, hyponatraemia and hypercalcaemia. He had fluid and electrolyte replacement he in ICU, but profuse diarrhoea persisted and with it, was in hypotension and delerium. He had been having progressive diarrhoea and weight loss for 2 years while he was in South Africa.Investigations: Upper and lower GI endoscopies had ...

ea0082p15 | Poster Presentations | SFEEU2022

Abstract Withdrawn...

ea0082p16 | Poster Presentations | SFEEU2022

Just another pituitary lesion

Bodi Istavan , Albusaidi Ayisha , Shapey Jonathan , Whitelaw Benjamin , Iftikhar Sahar , Aylwin Simon

Case history: 37F presented with 4 years history of amenorrhea. In addition, she had fatigue, low mood and joint pains. She also had history of polyuria and nocturia. Investigations: Her investigations revealed FSH 2.4 IU/l, LH 1.1 IU/l, Oestradiol < 92 pmol/l, T4 <5 pmol/l, TSH 1.5 mIU/l, IGF-1 13.3 nmol/l (8.5- 30.07), Cortisol 65 nmol/l, Prolactin 68 mIU/l. She was started on Hydrocortisone and levothyroxine. Pituitary MRI revealed a 15 mm les...

ea0082p17 | Poster Presentations | SFEEU2022

Brown tumour of the palate heralding a diagnosis of severe primary hyperparathyroidism in a young male

Boughton Charlotte , Lau Eunice , Scott Francis , Kennedy Robert , Basyuni Shadi , Santhanam Vijayarajan , Das Tilak , Fish Brian , Stokes Victoria , Casey Ruth

Case history: An 18 year old male student presented to the dentist with an eight week history of left-sided facial pain and swelling. He was subsequently referred to the maxillofacial team. His only previous medical encounter was for a traumatic right humerus fracture following a roller-skating injury. He took no regular medication. His father died of an unknown malignant process several years previous and family history was otherwise unremarkable. On questioning, the patient ...

ea0082p18 | Poster Presentations | SFEEU2022

A case of Severe and Chronic Vitamin D Toxicity: when all treatment options are exhausted

Mansukhbhai Shekhda Kalyan , Akker Scott , Rathore Ali

Case History: A 68-year-old gentleman was admitted to the hospital following a history of weight loss, lethargy, tiredness for about 6 months. His past history includes hiatus hernia, esophagitis and kidney stones. He reported taking over the counter vitamin D (60,000 IU daily) for more than 2 years. He was not on any other regular medications.Investigations: His initial investigations showed acute kidney injury with severe PTH independent hypercalcaemia...

ea0082p19 | Poster Presentations | SFEEU2022

Amiodarone-induced thyroiditis, complicated by a thyroid storm in a man with Becker Muscular Dystrophy

Rathore Yashasvini Gosavi1, Shadman Ahmed2, Lauren M Quinn2, Neil Sharma2 & Kristien Boelaert2

Section 1: Case history: A 46 year old man with Becker Muscular Dystrophy (BMD), was admitted with palpitations and shortness of breath. He had a past medial history of severe left ventricular dysfunction (LVSD) and cardiac arrhythmias, including atrial fibrillation (AF) treated with amiodarone, and an implantable cardiac defibrillator (ICD) for non-sustained ventricular tachycardia (VT). He had been treated with 3 months of prednisolone for suspected type 2 amiodarone induced...

ea0082p20 | Poster Presentations | SFEEU2022

Adrenocortical carcinoma in two young patients

J Tharma Tharani , Khanam Amina , Joshi Mamta , Velusamy Anand , Carroll Paul

The first case is a 19-year-old male who presented to his GP with lumbar pain, scrotal bruising, and weight loss. Abdominal CT showed a left 6.4 cm x 12 cm suprarenal mass; the right adrenal gland was atrophic. Plasma metanephrines and MIBG were normal. Urinary steroid profile (USP) showed raised 11-deoxycortisol, consistent with adrenocortical carcinoma (ACC). He underwent a left nephrectomy and adrenalectomy. Histology confirmed ACC. The lesion was encapsulated with negative...

ea0082p21 | Poster Presentations | SFEEU2022

Phaeochromocytoma in a patient with end stage renal disease on haemodialysis: diagnostic and management challenges

Saad Muhammad , Zuhair Kirresh Omar , Waterhouse Mona , Okorie Michael

Case History: A 61 year old woman on haemodialysis with end stage renal failure secondary to immune-complex mediated diffuse proliferative glomerulonephritis was admitted with accelerated hypertension presenting with acute right microvascular 6th nerve palsy and left optic nerve ischaemic atrophy. Her BP had been well controlled over the last 10 years but since the end of 2020 systolic BP readings were frequently recorded above 200mmHg. Multiple antihypertensive classes were c...

ea0082p22 | Poster Presentations | SFEEU2022

Neurosarcoidosis – an uncommon but important cause of hypopituitarism

Htet Aung Ye , Ameen Noushad Muhammed , Ko Emily , Patel Nishchil , Ghieth Sherif

Sarcoidosis is a granulomatous multi-systemdisorder of unknown ethology. It has a higher prevalence in Northern Europe and the UK. Neurosarcoidosis is a relatively less common, but serious complication of sarcoidosis. CASE: A 48 year old man presented to the hospital with intermittent fever, and neck pain and stiffness, of six weeksduration. This was associated with excessive tiredness, loss of libido, decreased appetite, and unintentional weight loss of two stone over a perio...

ea0082p23 | Poster Presentations | SFEEU2022

A rare case of co-occurrence of autoimmune thyroid disease and Myasthenia gravis

Gaur Smriti , Ibitayo Hope , Manavalan Vijaikrishnan , Parkinson Craig

Introduction: Grave”s disease (GD) is a common cause of thyrotoxicosis, Myasthenia Gravis (MG) is less common (incidence of 3-30cases per million). Between 5-10% of patients with MG also have thyroid disease. However, only 0.14% of patients with GD having MG. Both are autoimmune diseases sharing pathophysiological mechanisms. Co-existence, although rare, is well established. MG may mimic the neuromuscular signs of GD especially if these are subtle. We report a case of a 3...

ea0082p24 | Poster Presentations | SFEEU2022

A tricky situation: hypercalcaemia in pregnancy

Dhar Mili , Smout Vera , Ahamed Sadiq Shafana , Bano Gul

Section 1: Case history: A 39-year-old Asian lady at 18 weeks of gestation, after in vitro fertilisation pregnancy, was found to have an adjusted calcium level of 3.08 (range 2.20-2.60 mmol/l) on routine blood tests. She was asymptomatic. Her Parathyroid hormone (PTH) was 14.1 (1.1-6.9pmol/l) and 25 hydroxy vitamin D 16 (15-174 nmol/l). She had insulin treated diabetes following an episode of pancreatitis for which no cause was identified. She was treated as an inpati...

ea0082p25 | Poster Presentations | SFEEU2022

An exception to the rule: transformation of an adrenocortical lesion with benign radiological characteristics

MacFarlane James , Lau Eunice , Palma August , Koulouri Olympia , Harper Ines , Stokes Victoria , Challis Ben , Shaw Ashley , Aloj Luigi , Mendichovszky Iosif , Cheow Heok , Bashari Waiel , Gurnell Mark , Casey Ruth

Section 1: Case history: A 69 year old man with chronic obstructive pulmonary disease was admitted with acute onset shortness of breath. A CT pulmonary angiogram revealed no focal lung abnormality but identified an incidental 40 x 32 mm left-sided adrenal lesion. An unenhanced CT, undertaken to characterise the lesion, showed a homogeneous, well-circumscribed appearance with a radiodensity of 4 Hounsfield units. Prior to involvement of the Endocrinology team, a dedicated MRI w...

ea0082p26 | Poster Presentations | SFEEU2022

An unusual cardiovascular manifestation of hyperthyroidism

Smout Vera , Dhar Mili , Ahamed Sadiq Shafana , Bano Gul

Case History: 41-year-old female presented with a 3-day history of fever, cough, and breathlessness. She had palpitations, diarrhoea and weight loss of 4-5 kg over 1 month. Graves” disease had been diagnosed 5 years prior to this episode and she had been treated with carbimazole but was not in remission. On this occasion, she was febrile and had atrial fibrillation. She also had right pleural effusion and bilateral pedal oedema.Investigations: Blood...

ea0082p27 | Poster Presentations | SFEEU2022

A rare case of recurrent insulinoma

Aye Thant Aye , Kearney Tara

Section 1: Case History: A 45-year-old gentleman attended the emergency department in December 2016 with an episode of stupor, confusion and lethargy with blood glucose of 1.8 mmol/l. He recovered after administration of IV glucose. He had ’funny spells’ for a year prior to the event. He had a history of childhood asthma and was not on any regular medications. There were no significant findings in the clinical examination and no relevant family history. <p class=...

ea0082p28 | Poster Presentations | SFEEU2022

Waterhouse Friedrichsen syndrome-A Complex Case

Shaikh Sheeba , Sandhu Farooq , Balmuri Laxmi

Introduction: Waterhouse Friedrichsen syndrome-Severe adrenal insufficiency is a rare but life-threatening condition secondary to bilateral adrenal haemorrhages. In many cases, it is caused by fulminant meningococcaemia, but there are numerous other aetiologies, it can also be caused by use of medications that promote blood clotting, reduce platelet count, primary antiphospholipid syndrome, renal vein thrombosis or steroid use and has been associated with splenectomy as well. ...

ea0082p29 | Poster Presentations | SFEEU2022

COVID-19 induced hypoparathyroidism

Whitehurst Katharine , Kayali Lina , Chokkalingam Kamal

Case history: A 55-year-old man presented to the Emergency Department with worsening breathlessness 11 days after testing positive for severe acute respiratory syndrome coronavirus 2 (SARS CoV 2). He reported ongoing diarrhoea, starting 1 week prior to the SARS CoV 2 infection. He was previously fit and well, on no regular medication. On examination he was alert, with all clinical observations within normal limits and there were no significant findings in the chest and abdomen...

ea0082p30 | Poster Presentations | SFEEU2022

Lansoprazole induced hyperprolactinemia: Uncommon side effect of a common drug

Sharma Bhavna , Qureshi Asjid

Hyperprolactinemia is known to have a wide differential with multiple causes including physiological, pathological and pharmacological. Drug induced causes of hyperprolactinemia are myriad however these become significant when prolactin levels rise to proportions that lead to clinical manifestations. We present a case of a 40 years old lady who was referred to endocrinology for an irregular menstrual cycle. Initial investigations revealed a prolactin level of 5767 mIU/l (range...

ea0082p31 | Poster Presentations | SFEEU2022

Complications of phaeochromocytoma: a case of catecholamine-induced cardiomyopathy

Mulholland Sarah , Martin Christopher

Case History: We present a case of a 33-year-old woman who attended with heart failure whilst awaiting a surgical resection of phaeochromocytoma. She presented hours after an intravenous iron transfusion to treat her known iron-deficiency anaemia secondary to menorrhagia from massive uterine fibroids, for which she under the care of the gynaecology team. She was known to have a right-sided phaeochromocytoma, which was found incidentally on MRI in 2021, and was taking phenoxybe...

ea0082p32 | Poster Presentations | SFEEU2022

Pituitary Apoplexy presenting with acute hyponatraemia

Islam Quazi , Sahoo Saroj , Naeem Ammara , Eldigair Hiba , Mehta Jay , Khoo Bernard , Karra Efthimia , Yousseif Ahmed , Patel Dipesh , Armeni Elena

Case history: 48-years old man, with no comorbidities, presented to A&E due to global headache of 20 days duration, with associated intermittent vomiting, but no photophobia, cranial nerve impairment, neck pain or visual disturbance. The first head-scan (CT, computed tomography) was unremarkable, hence was discharged with safety advises. One week later, he represented to A&E with similar complaints. On enquiries, he mentioned to be reviewed by an optician 6 months ago,...

ea0082p33 | Poster Presentations | SFEEU2022

Post-operative impending thyroid storm

Bhaskaran Gayathri , Ali Fayad , Casey Michael , Hunt Molly , Kashif Hussain Kazmi Syed , Khan Sidrah

Case history: A 32 year old female was admitted for an elective gynaecological procedure LLETZ (large loop excision of the transformation zone) under general anaesthesia as per patient”s request. An uncomplicated LLETZ procedure was performed. Post operatively, patient was found to be tachycardiac and had severe palpitations with nausea. She then reported that she had recently lost a significant amount of weight, had been suffering with anxiety, palpitations, and tremors ...

ea0082p34 | Poster Presentations | SFEEU2022

Adrenocortical carcinoma as a cause of Cushing’s syndrome

Batten Lucy

Section 1: Case history: A 55 year old female patient sought review from her GP due to ongoing fatigue, muscle weakness, scalp hair thinning, weight gain and fluid retention. This had been ongoing for a few months and she was started on HRT. Initially she saw an improvement however her relief from symptoms was short lived. 5 months later she noticed a rash which was described as purpuric. A relative described her as having a “moon face” which prompted further review ...

ea0082p35 | Poster Presentations | SFEEU2022

A rare case of potential Carbimazole-induced lymphopenia

Maximous Anthony , Pyone Khine May , Ghieth Sherif , Dimitropoulos Ioannis

Case history: Carbimazole, a widely used medication to treat hyperthyroidism, is associated with several well-established side effects. Carbimazole-induced lymphopenia is however rarely reported in the literature. This case focuses on a 57-year-old lady diagnosed with Graves’ Disease (GD) in 2015. She was started on Carbimazole which eventually stabilised her thyroid function; her severe thyroid eye disease precluded definitive treatment with radioiodine however she was r...

ea0082p36 | Poster Presentations | SFEEU2022

Kallman Syndrome: A unique presentation

Aslam Aisha , Sinha Akansha , Ahmad Shiraz

70yrs male was referred to endocrinology due to an abnormal blood test showing hypogonadotropic hypogonadism. Initial investigations were done due to bilateral gynecomastia worsening over 20 years, by the breast team. He did not go through puberty as a child and was given a testosterone injection at the age of 12yrs for a year. This was discontinued due to sexual arousal since then he did not have any further endocrine follow-ups. He had symptoms of tiredness, reduce libido, a...

ea0082p37 | Poster Presentations | SFEEU2022

Pancreatic encephalopathy secondary to DKA induced pancreatitis

Dubey Abhijit , Ameen Noushad Muhammed , Patel Nishchil , Dimitropoulos Ioannis

Background: We would like to present a case of pancreatic encephalopathy induced by DKA induced hypertriglyceridemia. The triad of acute pancreatitis, hypertriglyceridemia and diabetes is a rare occurrence. Through our case we aim to highlight the importance of making an early diagnosis as a delay in diagnosis can worsen outcomes.Case history: We present the case of a 51 year old Type 2 Diabetic non compliant with her medications who was admitted to the ...

ea0082p38 | Poster Presentations | SFEEU2022

Polycythaemia secondary to transdermal testosterone replacement therapy (TRT)

Tahir Chohan Muhammad , Abouzaid Mona , Jones Susan

Introduction: With increasing prevalence of hypogonadism, testosterone replacement therapy (TRT) remains the mainstay of treatment for male hypogonadism. Polycythaemia, the commonest reported side effect of TRT is often claimed to be less with transdermal preparations than intramuscular.Case history: A 48 years gentleman, initially presented in primary care with reduced libido, erectile dysfunction(ED), low energy levels. Early morning testosterone level...

ea0082p39 | Poster Presentations | SFEEU2022

An interesting case of Myxoedema Coma in a patient, who presented with an unwitnessed fall, hypothermia, hyponatraemia and reduced consciousness

Tariq Sadia , Tabassum Maria , Mohandas Cynthia , Srikugan Lanitha , Fidelis Abedo Itopa , Ogonko Arthur

Case History: We report a case of 81-year-old female of white background who was admitted after a fall with long lie and confusion. On arrival, she was found to be hypotensive BP-85/46 mmHg, Hypothermic-temp-20.9 and bradycardic HR-46 beats/min, GCS was 13/15 with low normal CBG-4.0 mmol/l. She has a history of chronic hyponatraemia, thyroidectomy 9 years prior to this presentation and a previous admission with fall leading to pelvic fractures. During that admission she was st...

ea0082p40 | Poster Presentations | SFEEU2022

Incidentally found Acromegaly after a Road Traffic Accident

Bahl Suhani , Arora Naman

Section 1: Case history: A 19-year-old Caucasian female presented to the A&E department with a head injury following a road traffic accident. A CT head done to exclude head injury was normal but incidentally showed a significant pituitary macroadenoma and she was referred to endocrinology as out-patient urgently. This was delayed by 4 months due to face-to-face clinics being suspended in the first wave of the pandemic. Virtual consultation revealed a history of headaches f...

ea0082p41 | Poster Presentations | SFEEU2022

An interesting cause of Hypertensive Crisis: Phaeochromocytoma

Tulsi Dooshyant , Rao Komal , Bradley Meg , Bawlchhim Zosanglura , Falinska Agnieszka , Russell-Jones David

Case History: A 46 year old lady presented to A&E with a 4 day history of headache, vomiting, abdominal pain and fever. On further questioning, she admitted to having had experienced occasional episodes of palpitations, hot flushes and headaches over the past few months. She had history of appendectomy when she was young and acoustic neuroma removal few years ago. She wasn’t on any regular medications. On clinical examination, she looked visibly unwell and was hypoxic...