Endocrine Abstracts

History: A 54 years old gentleman was admitted to the hospital after being found unconscious at home by his wife with a tongue bite and urinary incontinence. He had perineal approach biopsy 2 days ago for prostate cancer. Since biopsy, he had poor urine output with clots and dribbling. He also gave 2 days history of constipation. Wife was a doctor and mentioned that she palpated a distended bladder the night before. On examination, he was haemodynamically stable although he di...

Pancreatitis has multiple aetiologies of which commonest are gall stones and alcohol. Hypertriglyceridaemia is a less common (1-14 %) cause of pancreatitis. We present three case histories of acute pancreatitis due to severe triglyceridaemia and its management challenge in people with diabetes.Case history: 1. A 33-year-old man with BMI of 41 kg/m2 with Hodgkin lymphoma, thyrotoxicosis and diabetes, but no history of alcohol use was diagnosed ...

Introduction: Conn’s syndrome is a well-known cause of secondary hypertension; however, its association with pregnancy is rare. We discuss an interesting case of Conn syndrome presented with severe hypertension 8 weeks post-partum.Case report: A 34-years-old lady, previously fit and well, presented with severe hypertension (blood pressure–189/115 mmHg) and hypokalaemia (K-2.5 mmol/l) at 8 weeks post-partum. Antenatal records indicated she was n...

We set out to describe a case of persistent PTH elevation post parathyroid carcinoma resection and assess its significance via literature review. A 71 year old lady presented with abdominal pain and weight loss. Blood tests revealed calcium of 3.42 mmol/l and PTH of 47.8 pmol/l. Ultrasound neck and SESTAMIBI scan suggested right lower parathyroid adenoma. She underwent right inferior parathyroidectomy however histology revealed parathyroid carcinoma with incomplete excision ne...

Case history: An 81 years old lady with treated follicular lymphoma, hypertension and osteoporosis was admitted to hospital with a fall and was found to have hypercalcaemia with adjusted calcium of 4.9 mmol/l (nr 2.2–2.6 mmol/l). There was history of constipation but no history of excessive thirst or polyuria. The patient was on atorvastatin, amlodipine, bendroflumethiazide, ramipril, calcium and vitamin D. On examination our patient was dehydrated and mildly confused. There w...

Introduction: Hyponatremia is a common electrolyte disorder in clinical practice. We did a retrospective analysis of 100 patients admitted between Jan 2019 to June 2019 with moderate hyponatremia (Na-125-129 mmol/l) to see if there was a difference in management and outcome of the patients who were formally coded as hyponatremia and those who were not coded as such.Results: Mean age was 74 years in the coded group (n...

Case report: A 55 years old Caucasian gentleman presented with recurrent episodes of unexplained hypoglycaemia with slurred speech, lethargy, myoclonic jerks and seizures. He had background of craniopharyngioma at the age of 17 and underwent surgery but no radiotherapy. Subsequently he was started on hormonal replacement with desmopressin, levothyroxine, hydrocortisone, testosterone and genotrophin and remained stable on treatment for 38 years. Hypoglycaemia work up revealed b...