Searchable abstracts of presentations at key conferences in endocrinology

ea0055wh7 | Workshop H: Miscellaneous endocrine and metabolic disorders | SFEEU2018

A rare cause of funny turns and weight gain

Yap Pui San , Graveling Alex

Introduction: Symptomatic hypoglycaemia unrelated to the treatment of diabetes is rare. As symptoms of hypoglycaemia are non-specific, investigation should only be instigated if Whipple’s triad can be fulfilled- signs and symptoms of hypoglycaemia, a recorded low plasma glucose and resolution of symptoms after treatment.Case history: A 37 year-old woman presented to the emergency department with fatigue and lightheadedness. She has modified her diet...

ea0055we2 | Workshop E: Disorders of the adrenal gland | SFEEU2018

Challenges in managing primary hyperaldosteronism

Sawhney Natasha , Graveling Alex , Abraham Prakash

Background: A 59 year old man was referred to Endocrinology from Neurology with a 2 year history of hypertension, and a 1 year history of mild hypernatraemia (146–148 mmol/l) and hypokalaemia (3.2–3.4 mmol/l). He had a past history of a cerebral aneurysm and superficial siderosis. His main complaints were severe fatigue, poor balance and tinnitus. His medications at diagnosis were Amlodipine 5 mg and Sertraline 50 mg.Investigations: Blood press...

ea0048wh1 | Workshop H: Miscellaneous endocrine and metabolic disorders | SFEEU2017

A case of Von Hippel-Lindau, diagnosed following oral contraceptive pill health check

Alkemade Gonnie , Graveling Alex , Abraham Prakash

Case: A 35 year old lady was found to be hypertensive following a blood pressure check in view of her oral contraceptive pill use. Because of her young age she was referred to the Hypertension Clinic. She underwent a renal ultrasound as part of the screening for end organ damage in view of her drug-resistant hypertension. The ultrasound- and subsequent CT imaging- revealed a 2.8 cm left adrenal mass measuring 44 Hounsfield Units. She denied any palpitations or headaches but di...

ea0081ep660 | Pituitary and Neuroendocrinology | ECE2022

Automated data extraction of structured clinical correspondence with SNOMED coding to assess regional epidemiology of common pituitary conditions

Hao Alan Yap Shao , Graveling Alex , Abraham Prakash , Philip Sam

Introduction: Pituitary disorders are associated with increased mortality and morbidity. Data on the prevalence of pituitary disorders is scarce. Formal routine coding of diagnoses in outpatient endocrine practice lags behind medical coding of inpatients. Standardised coding could improve our understanding of disease burden and highlight areas of increasing need within our services.Objective: Automatically extract and assign SNOMED codes for endocrine di...

ea0059p140 | Neuroendocrinology and pituitary | SFEBES2018

Metoclopramide Test: Time for a revival in patients without classic symptoms and mild hyperprolactinaemia?

Bhatt Dhruti , Graveling Alex , Philip Sam , Abraham Prakash

Background: Generally Endocrinologists strive to diagnose conditions biochemically prior to radiological investigation. Pituitary incidentalomas are observed in 10% of pituitary MRIs and together with stress induced hyperprolactinaemia, 10–20% of patients receive dopamine agonists (DAs) without a definite diagnosis. Menstrual imbalance is a common symptom of hyperprolactinaemia which can have multiple origins (e.g. hypothalamic, pituitary or ovarian). DAs have side effect...

ea0055wd3 | Workshop D: Disorders of the thyroid gland (II) | SFEEU2018

A case of medullary thyroid cancer

Bhatt Dhruti , Shakeel Muhammad , Ah-see Kim , Abraham Prakash , Graveling Alex

Case: A 61 year old female, presented to ENT in July ’17 with 6 month history of left sided neck swelling, gradually increasing in size over the last 1 month prior to presentation. She complained of tenderness over the swelling and pain and discomfort around her left shoulder. She denied any problems with her voice, breathing or swallowing. Her past medical history consisted of recurrent UTI’s, renal stones and medullary sponge kidney. She smokes 15 cigarettes per da...

ea0050p286 | Neuroendocrinology and Pituitary | SFEBES2017

Acromegaly complication screening – are we meeting the guidelines?

Sifontes-Dubon Mildred , Bhatt Dhruti , Murray Lynne , Phull Perminder , Graveling Alex , Philip Sam , Abraham Prakash

Aims: Endocrine Society (ES) acromegaly guidelines (2014) addressed complication screening. Uncontrolled acromegaly is associated with elevated cardiovascular mortality due to risk factors including hypertension (HT), diabetes mellitus (DM), obstructive sleep apnoea (OSA), and with an increased risk of colorectal cancer and polyps among other types of neoplasias. We audited our clinical practice with regards to acromegaly complication screening.Methods: ...

ea0050p289 | Neuroendocrinology and Pituitary | SFEBES2017

Treating mild central hypothyroidism in postoperative pituitary patients – impact of Endocrine Society guidelines

Bhatt Dhruti , Sifontes-Dubon Mildred , Graveling Alex , Philip Sam , Abraham Prakash

Aim: Endocrine Society (2016) published guidelines for hormonal replacement in hypopituitarism. Central hypothyroidism (CH) is defined as fT4 below reference range and mild CH is defined as fT4 in the low-normal range with suggestive symptoms in the context of pituitary disease. In patients with panhypopituitarism levothyroxine in doses sufficient to achieve fT4 levels in the upper half of the reference range is recommended. In our centre...

ea0050p286 | Neuroendocrinology and Pituitary | SFEBES2017

Acromegaly complication screening – are we meeting the guidelines?

Sifontes-Dubon Mildred , Bhatt Dhruti , Murray Lynne , Phull Perminder , Graveling Alex , Philip Sam , Abraham Prakash

Aims: Endocrine Society (ES) acromegaly guidelines (2014) addressed complication screening. Uncontrolled acromegaly is associated with elevated cardiovascular mortality due to risk factors including hypertension (HT), diabetes mellitus (DM), obstructive sleep apnoea (OSA), and with an increased risk of colorectal cancer and polyps among other types of neoplasias. We audited our clinical practice with regards to acromegaly complication screening.Methods: ...

ea0050p289 | Neuroendocrinology and Pituitary | SFEBES2017

Treating mild central hypothyroidism in postoperative pituitary patients – impact of Endocrine Society guidelines

Bhatt Dhruti , Sifontes-Dubon Mildred , Graveling Alex , Philip Sam , Abraham Prakash

Aim: Endocrine Society (2016) published guidelines for hormonal replacement in hypopituitarism. Central hypothyroidism (CH) is defined as fT4 below reference range and mild CH is defined as fT4 in the low-normal range with suggestive symptoms in the context of pituitary disease. In patients with panhypopituitarism levothyroxine in doses sufficient to achieve fT4 levels in the upper half of the reference range is recommended. In our centre...