Endocrine Abstracts

A 68-year-old lady presented to the medical assessment unit with history of muscle cramps involving both hands and legs of 5 days duration. She also gave a history of diarrhoea of 2 weeks duration. Her background medical history includes hypertension, hypercholesterolemia and dyspepsia for which she was taking Irbesartan/hydrochlorothiazide combination tablets, simvastatin and omeprazole.General physical examination revealed positive Chovstek’s and ...

Introduction: We undertook a service development audit within our trust to review the Medical team’s knowledge on DKA and the management involved in treating these patients. The aim was to identify where there was a lack of knowledge in this area so we could provide teaching sessions on DKA and aim at the specific areas highlighted from the audit. We went on to deliver education sessions on DKA management and pinpointed the areas lacking from the pre audit. The education ...

Section: Case history: 73-year old gentleman referred from GP with a two month history of worsening dizziness, malaise, postural hypotension and general deterioration and spiking pyrexia ranging 38-40°C over 3 weeks. PMH of NSCLC T2b N0- left lower lobectomy & chemotherapy 3 years prior.Section: Investigations and treatment: At re-presentation his CT TAP showed bilateral bulky adrenal glands but no other abnormality. The patient’s bloods sh...

18 year old female referred with 2 years history of hirsutism and secondary amenorrhoea. She was born at 37 weeks and was found to have neonatal hypothermia, hypoglycaemia and crossed hemihypertrophy, but no macroglossia. Due to the increased risk of Wilm’s tumour she had regular ultrasound scans up to the age of 11 years. She attained menarche at the age of 13 but had only two periods within 18 months. By the age of 15 she developed hirsutism and acne. Biochemistry revea...