Endocrine Abstracts

2 cases of Amiodarone induced thyroiditis. 1. 60 years old gentleman on haemodialysis, secondary to diabetes related kidney failure, on Insulin for diabetes, also on treatment for active pulmonary tuberculosis and on amiodarone for non-sustained VTs for one year and had left ventricular systolic dysfunction. He went into atrial fibrillation during a dialysis session and his thyroid function tests were done along with other blood tests. He was discussed with cardiology who advi...

78 years old lady admitted with fall and right hip fracture under the orthopaedic team was referred to endocrinology with high calcium levels (2.84 mmol/l). Patient was mobile and independent, had a mechanical fall, no preceding symptoms. She had no symptoms of hypercalcemia. She had background history of osteoarthritis and previous history of removal of skin cancer. She was taking calcium supplements, but they were stopped at the time of admission. She was an ex-smoker. Her m...

A series of 4 cases of delay in steroid treatment.1. 35 year male, brought in by ambulance, with drowsiness and vomiting. He was known T1DM on insulin pump, Addison’s disease on hydrocortisone. He has multiple admissions secondary to DKA. Initial assessment showed drowsiness, tachycardia, tachypnea, low saturations, hyperglycemia, ketosis and borderline acidosis. He was started on DKA protocol. His blood glucose and ketones started ...

74 year old female presented in ED with history of fall 2 weeks ago and worsening severe back pain, unable to weight bear. She has background history of hypertension, epilepsy and chronic back pain. She had distal radial fracture in 2016, and Dexa scan at that time showed osteopenia with T-score of −1.8, but she was not receiving conventional osteoporosis treatment (e.g., bisphosphonates), hormone replacement therapy, or using natural or synthetic steroids. Furthermore, ...