Endocrine Abstracts

Introduction: Systemic steroids have an established role in the management of numerous medical conditions across all specialities. Osteoporosis predisposing to osteoporotic fracture is a well known adverse effect of long term steroid treatment, which can affect at an early stage of the treatment. Established steroid induced osteoporosis is associated with significant co-morbidity and is difficult to reverse.Aim: To determine the frequency of osteoporosis...

A 44 years old lady with history of suspected psychogenic polydipsia (2021), presented with acute on chronic abdomen pain. She complained of lethargy, intermittent vomiting, abdomen pain, weight loss (four stones) over last six months associated with confusion and visual hallucination since two weeks. She mentioned feeling always thirsty and drinks around 4-5 litres of water per day. Her blood pressure was 87/61 mmHg, heart rate 74/min and U&Es were normal (serum sodium 14...

Background: Iopanoic acid is an iodinated oral cholecystographic contrast agent, which can be used for the rapid blockade of thyroid hormone production in preparation for thyroidectomy, especially in patients who are intolerant of thionamides. However, appropriate timing of thyroid surgery is vital.Project: In this retrospective audit, we identified all patients with thyrotoxicosis who received pre-operative preparation with iopanoic acid from 2006 to 20...

Introduction: Pituitary hormones play a vital role in the development of various organs since birth. Testosterone is essential not only for the development of primary and secondary sexual characteristics but also influences erythropoiesis. We describe a clinically challenging case of hypopituitarism presented as normochromic normocytic anaemia at the age of 74 years.Case: A 74 years gentleman with a background of previous Myocardial Infarction was referr...

Introduction: Maternal hypothyroidism is the most common disorder of thyroid function in pregnancy and may influence the outcome of mother and fetus at all stages.Aim: To evaluate screening and management of all high risk pregnant women for thyroid dysfunction.Method: A retrospective audit as carried out between January 2005 and December 2006. Our local standards were TSH<3 mIU/l for screening and TSH<2 mIU/l for treatment....

Introduction: The hypothalamus plays a pivotal role in maintaining body temperature.Insults to the hypothalamus can result in life threatening temperature disturbance.We describe a case of hypothalamic dysfunction presenting with poikilothermia that was managed with a special portable external heating vest.Case report: A 31 year old man presented in July 1992 with a subarachnoid hemorrhage which was managed s...