Endocrine Abstracts

We present the case of a 50-year-old lady who initially presented to the endocrine department at Royal Bolton Hospital in 2011 with symptoms of tiredness and lethargy following hysterectomy and bilateral salpingo-oophorectomy in 2003. Hormone replacement therapy was not commenced in view of a strong family history of breast cancer. There is a family history of both autoimmune hypothyroidism and hyperthyroidism. Thyroid function tests were normal, with a positive thyroid peroxi...

Introduction: We undertook an audit evaluating the glycaemic management of patients on steroids. This audit is based on the Joint British Diabetes Societies guideline on Management of Hyperglycaemia and Steroid (Glucocorticoid) Therapy, 2014.Method: The audit was conducted prospectively over a period of 5 days. All patients on steroids greater than 5 mg of Prednisolone, or an equivalent dose of alternative synthetic gluc...

Introduction: We undertook an audit evaluating the glycaemic management of patients on steroids. This audit is based on the Joint British Diabetes Societies guideline on Management of Hyperglycaemia and Steroid (Glucocorticoid) Therapy, 2014.Method: The audit was conducted prospectively over a period of 5 days. All patients on steroids greater than 5 mg of Prednisolone, or an equivalent dose of alternative synthetic gluc...

We present the case of a 74-year-old man who was admitted with a short history of confusion and reduced mobility. He had a raised serum corrected calcium (cCa) of >5 mmol/l, serum parathyroid hormone (PTH) of 1.9 pmol/l (range 1.6–6.8 pmol/l) and acute renal failure. He was rehydrated and given a dose of i.v. zoledronate. Two days later his serum cCa remained elevated (4.39 mmol/l) with persistently impaired renal function. He underwent dialysis and serum cCa improved...