Endocrine Abstracts

Background: Toxic thyroid nodules are difficult to manage medically. Surgical versus radioiodine therapy can be chosen in light of risk and benefit for individual cases.Clinical case: 72 years old woman presented with 3 months history of hands tremor. There was no associated palpitations, weight loss, sweating, diarrhoea or mood change. She reported mild tiredness. She had never noticed any lump or pain in her neck. There was history of cold intolerance ...

Case history: 20 year old man with a complex cardiac history of Shone’s syndrome, out of hospital cardiac arrest 2015 (CRT-D implant) and multiple previous episodes of fast atrial fibrillation was admitted to hospital (28/11/2019) with 3 weeks history of intermittent palpitations and shortness of breath. His regular medications included amiodarone and bisoprolol. Examination revealed a fine tremor of outstretched hands, no obvious goitre or thyroid eye disease. Thyroid functio...

27 years old lady with recurrent Graves’ thyrotoxicosis for 5 years delivered her baby uneventfully and her thyrotoxicosis worsened 2 months after pregnancy when her FT4 bounced back up to 38 pmol/l (12–22) so her propylthiouracil (PTU) was increased from 200 to 400 mg. Despite of continuing high dose of PTU for few months she remained thyrotoxic and became neutropenic [Neutrophil 0.67×109 (2–7)], decision was made to proceed with thyroidectomy b...

History: 80 years old male was admitted in June 2016 with a head injury. His CT head showed small subarachnoid haemorrhage and shallow frontal subdural hematoma. He was managed conservatively as per advice from neurosurgical department and was discharged on 4th July. He was readmitted on 9th July suffering from confusion and found to have sodium of 114 which was 141 a week ago.Investigation: Investigations carried out to find the ca...

Case history: 36 years old, 14 weeks pregnant lady was referred to endocrinology department by GP urgently with corrected Calcium CCa of 2.97 mmol/l and normal parathyroid hormone (PTH). Her symptoms were urinary frequency and nausea. She had 3 previous miscarriages and 2 normal births. She was on folic acid and vitamin D supplements. There was family history of type 2 diabetes and B12 deficiency. Her 6 family members had normal calcium levels.Investigat...