Endocrine Abstracts

Background: Diabetic ketoacidosis (DKA) and Hyperglycaemic Hyperosmolar State (HHS) are serious emergencies with clear management guidelines, requiring early recognition and treatment. There are limited recommendations for uncomplicated hyperglycaemia management in the ED.Aim: To review current practices regarding management of emergency and non-emergency presentations of hyperglycaemia to St. James’s Hospital ED.Methods: A re...

Introduction: Spontaneous coronary artery dissection (SCAD) is a unique clinical entity gaining rapid recognition as an important cause of acute coronary syndrome (ACS). Cabergoline induced SCAD is exceedingly rare. We present a unique case of a young woman with multivessel SCAD on a background of Cabergoline use. To date, limited literature is available on cabergoline induced SCAD and we describe the first ever reported case in our country.Case report: ...

Background: Arginine vasopressin disorder (previously diabetes insipidus (DI)) can be distinguished clinically into a relative deficiency of, or resistance to anti-diuretic hormone. Lithium is the mainstay of therapy for patients with bipolar affective disorder (BPAD), 40% of whom will go on to develop arginine vasopressin resistance (previously nephrogenic DI). We present a challenging case of an elderly gentleman receiving long-term lithium therapy who developed a hyperosmol...