Searchable abstracts of presentations at key conferences in endocrinology

ea0038cmw4.3 | Workshop 4: How do I do it? (II) (Supported by <emphasis role="italic">Clinical Endocrinology</emphasis> and <emphasis role="italic">Endocrinology, Diabetes &amp; Metabolism Case Reports</emphasis>) | SFEBES2015

How far do I investigate chronic fatigue?

Mukherjee Annice

Chronic fatigue presenting in the endocrine clinic is often intangible and difficult to assess. From the patients perspective fatigue is very disruptive to quality of life, exacerbates health related anxiety and can trigger functional symptoms. Patients with symptoms of chronic fatigue frequently have multiple contributory components to their symptoms, including endocrine, behavioural, and other medical factors. Investigation and management approaches will depend on whether th...

ea0086hdi1.3 | How do I...? 1 | SFEBES2022

How do answer the common difficult questions from patients with hypothyroidism?

Mukherjee Annice

Many people are now obtaining health information from social media. Misinformation and conflicts of interest are rife on these platforms and can filter into the clinical setting, where patients increasingly attend with unrealistic expectations. The thyroid clinic is a prime example. Misconceptions can sometimes set the agenda and make consultations challenging. Here I will share my clinical experience about how to answer common difficult questions in the thyroid clinic and res...

ea0086ns2.3 | Hot topics in endocrinology | SFEBES2022

Menopause; it’s not just a hot flush

Mukherjee Annice

Over the last two decades, the menopause management pendulum has swung wildly from very few women wanting HRT to so many women wanting it, with the recent increased awareness in the media, that shortages have occurred. Some narratives have resulted in greater fear about menopause and unrealistic expectations about HRT. Conflicting reports have led to much confusion among women. In this talk, I will discuss the implications of menopause today for women in context, including rel...

ea0086en8.1 | Reproductive Endocrinology and Biology | SFEBES2022

Clinical Management of Menopause

Mukherjee Annice

Over the last two decades, the menopause management pendulum has swung wildly. After the publication of the Women’s health initiative study in 2002, few women were prescribed HRT. With the recent increased awareness in the U.K. media, many women are requesting HRT, to the point that medication shortages have occurred. This overview will summarise the current national recommendations and how we arrived here. The talk will cover the implications of the increased menopause ...

ea0038p59 | Clinical practice/governance and case reports | SFEBES2015

DIPNECH: under-recognised and a diagnostic challenge

Salazar Veneranda Lorelei , O'Driscoll Ronan , Mukherjee Annice

A 48-year-old non-smoking female was seen in the chest clinic for cough and breathlessness on a background of asthma type symptoms for 20 years. Her cough was exacerbated by inhalers, productive of yellow sputum and intermittent streaks of blood. On examination, her lungs were clear but coughed continuously with an unusual duration of five minutes. Pulmonary function test showed an obstructive picture. CT scan showed bronchiectasis with multiple small nodules scattered through...

ea0031p235 | Obesity, diabetes, metabolism and cardiovascular | SFEBES2013

What lies beneath: a case of spontaneous hypoglycaemia or glucose transporter type 1 defect disguised as chronic fatigue?

Kumar Mohit , Mukherjee Annice , Hendriksz Chris

A 42-year-old female had extensive neurological investigations (normal MRI brain, EEG, NCS). A low CSF glucose triggered endocrine referral. She had a history of ill health/fatigue since 19 years when she had a viral illness with seizure-like episode and transient wheelchair dependance, with no formal diagnosis made. She had recurrent symptoms including fatigue, myalgia and weakness, with some relation to hunger and fasting.Physical examination revealed ...

ea0044ep7 | (1) | SFEBES2016

An unusual case of adrenal metastases

Alhelfi Moayed , Mukherjee Annice , Robinson Adam , Nelson Lili , Baker Emma

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...

ea0034p403 | Thyroid | SFEBES2014

Can a radiological scoring system for assessing the malignant potential of thyroid nodules be safely applied in clinical practice?

Lewis Mark , Ghattamaneni Sunethra , Mukherjee Annice , Doran Helen , Dhatta Seema

Background: The majority of thyroid nodules are clinically insignificant, however considerable overlap in radiological characteristics exists for benign and malignant lesions. Recently, validated radiological criteria using thyroid imaging reporting and data system scoring (TIRADS) have shown correlation between cumulative suspicious features and risk of malignancy1.Objective: To assess sensitivity, specificity and reliability of ultrasound sc...

ea0025p101 | Clinical biochemistry | SFEBES2011

Thyroid storm in a teacup: an unusual presentation of thyrotoxicosis Category: clinical practice/governance and case reports

Blackmore Alexander , Anderson Iain , Mukherjee Annice , Doran Helen

A 43-year-old woman presented acutely with Graves disease and hyperthyroidism. She had thyroid eye disease and a large diffuse goitre with pressure symptoms. She reported hearing a bruit herself without a stethoscope. She was tachycardic, with capillary nail fold pulsation and a positive Pemberton’s sign. Initial T4 was 78.6, TSH not detected.Betablockers to control the patients tachycardia were contraindicated due to a history of asthma,...

ea0021p41 | Clinical practice/governance and case reports | SFEBES2009

Extensive hirsutism, a valuable clue to a sinister pathology

Demssie Yared , Mukherjee Annice , Kearney Tara , Syed Akheel A

Background: Hyperadrogenemia is one of the most commonly encountered endocrine disorders in reproductive-aged women. By far the most common causes of androgen excess are functional which account for more than 90% of cases. Androgen and ovarian tumours producing excess androgen are however very rare and only account for about 0.2% of cases.Case history: A 62-year-old lady admitted to hospital with pneumonia was found to have an ill defined, firm, non-tend...