Endocrine Abstracts

GD is a common thyroid disorder which in majority of cases respond to medical treatment with thionamides.A proportion of these patients will need definitive treatment with either radioiodine ablation or total thyroidectomy. We present a case of a 21 yr old woman with a year history of overt thyrotoxic symptoms. She lost 2 stones of weight, had palpitations, heat intolerance and noticed shaky hands. On examination:She had large symmetrical goitre with bruit, tachycardic and swe...

31 years old lady with no past medical history or family history of thyroid disease had her first dose of Pfizer vaccine and few days later she presented unwell, Febrile with painful swelling in the neck. She was thought to have Covid because of fever. Examination revealed tender thyroid enlargement with positive bruit and Tachycardia. Investigations showed florid thyrotoxicosis with TSH: < 0.02, fT4: 60.0, CRP: 60, rest of investigation: normal, TRab and TPO AB: pending, ...

An 82-year-old lady admitted after multiple episodes of collapse and her blood sugar levels were noted to be less than 2.0 mmol/l. A supervised controlled fasting test was performed and results were consistent with Insulinoma. Imaging revealed a mass in the tail of the pancreas with metastasis to the liver. Liver biopsy confirmed the diagnosis of a poorly differentiated neuroendocrine tumour. She continued to have hypoglycaemic episodes which were difficult to manage. Dietary ...

32 year old female with no prior past medical problems presented to hospital with a two week history of rapid onset delusional psychosis with religious themes, paranoid ideas and rapidly developing into catatonia. There was no previous history of psychiatric disorders. On physical examination the Glasgow Coma Score (GCS) was 15 and she was responding to visual hallucinations; speaking to imaginary person and reported seeing objects. She was afebrile and bedside observations we...

Background: A 73-year-old female presented to the hospital with a 3-day history of right upper quadrant abdominal pain and episodes of vomiting. Her past medical history included insulin treated Type 2 diabetes diabetes, deep venous thrombosis for which she was on rivaroxaban, COPD, right leg angioplasty and previous p-ANCA vasculitis. She also had flank tenderness and was noted to be hypertensive with a blood pressure of 225/93mmHg. A CT scan of the abdomen identified a new 4...

Case PresentationA 25-year-old lady presented with symptomatic hyperthyroidism. She had a 4–6-week history of unexplained weight loss, pain in her neck and difficulty swallowing. Bloods confirmed mild hyperthyroidism with TSH 0.19 mU/l (reference range 0.27-4.2) with free T4 24.4 pmol/l (reference range 12.0-22.0), and she was commenced on carbimazole. There was no evidence of inflammation with CRP < 1 mg/l. Her mother had a thyroidectom...