Searchable abstracts of presentations at key conferences in endocrinology

ea0034p204 | Obesity, diabetes, metabolism and cardiovascular | SFEBES2014

Early insulin therapy: a new treatment approach for type-2 diabetes mellitus with HbA1c>7%

Patel Harshitbhai

Diabetes is a manageable but serious illness characterized by high blood sugar. In present study, comparison of treatment of metformin, insulin (biphasic isophane insulin) and insulin (biphasic isophane insulin)+metformin in the patients of type 2 diabetes mellitus with HbA1c>7% was performed. A total 45 patients of type 2 diabetes with HbA1c>7% were selected. The selected 45 patients were divided into three groups of 15 each. First group was treated with metformin (10...

ea0065p266 | Metabolism and Obesity | SFEBES2019

Cushing’s or not − a diagnostic dilemma

Patel Nishchil , Choudhary Nidhi

We present the case of a 49 year old Caucasian lady who was referred for urgent evaluation to rule out CushingÂ’s syndrome. She had progressive increase in bulk of her shoulders and upper arms over several months. She had a history of asthma, hypertension, and alcohol excess. She had inadvertently been using fostair (steroid inhaler) as a reliever up to 10 times a day. She denied anabolic steroid or drug use. She had no clinical features of CushingÂ’s syndrome. There w...

ea0031p60 | Clinical practice/governance and case reports | SFEBES2013

How do medical students and doctors learn clinical endocrinology?

Patel Mehul , Druce Maralyn

Background: There has been little research into methods of learning clinical endocrinology, a speciality encompassing rare conditions and pattern recognition. Problems include limited patient exposure outside specialist centres and increasing pressure on doctors to manage their own educational needs. An understanding of learning methods in use across the spectrum of students and doctors will help to identify trusted resources and untapped techniques.Aim:...

ea0031p121 | Clinical practice/governance and case reports | SFEBES2013

Secondary diabetes due to phaeochromocytoma

Patel Ashish , Shakher Jayadave

Case: A 73-year-old Pakistani gentleman with known hypertension and type two diabetes mellitus initially presented to hospital hypotensive, with epigastric pain and vomiting. An abdominal CT confirmed no abdominal aortic aneurysm, but discovered incidental findings of a 5.5×3×3.7 cm left-sided adrenal mass and a 1.5 cm gallbladder stone. He was treated for suspected cholecystitis and 24-h urinary free catecholamines requested. Unfortunately he was lost to follow-up.<...

ea0021p375 | Thyroid | SFEBES2009

A case of spousal abuse secondary to thyrotoxicosis

Patel Darshna , Gilbert Jackie

A 24-year-old female make-up artist presented with a 6 months history of emotional lability, heat intolerance, weight loss and shaking of the hands. She described a deteriorating relationship with her spouse and increasing difficulties performing her professional role. On examination, she demonstrated marked agitation, tremor, sweating and tachycardia. Biochemistry confirmed severe thyrotoxicosis (fT4 84 pmol/l, TSH<0.01 mU/l). Subsequent clinic attendance and c...

ea0013p87 | Clinical practice/governance and case reports | SFEBES2007

Radioactive Iodine (I-131) and its effectiveness in treating benign thyroid disease

Patel Kishor , Kalk John

Background: As thyrotoxicosis is associated with significant morbidity, treatment and ultimately cure is essential. Along with anti-thyroid medication and surgery, the use of radioactive Iodine (I-131) has long been established. However, opinion still varies as to when to use I-131, in which patients and whether to give a fixed or tailored dose. To see if our practice was consistent with published data, we conducted an audit of patients treated with I-131 for benign thyroid di...

ea0006p49 | Neuroendocrinology and behaviour | SFE2003

QLS-H, A MEASURE OF QUALITY OF LIFE IN ADULT UK GHD PATIENTS

Patel S , Edwards D

QLS-H is a new, weighted QoL questionnaire developed for patients with hypopituitarism. We evaluated QLS-H data from UK patients in the HypoCCs International surveillance study, and compared results with a sample of the general UK population (n=1090).The QLS-H questionnaire was administered at baseline and at yearly intervals. Scores were corrected for age and gender differences, and expressed as Z-scores based on UK-specific reference ranges. Using this...

ea0005p59 | Clinical Case Reports | BES2003

Calcitonin in nodular thyroid disease

Patel D , Johnston C

Sporadic Medullary thyroid carcinoma (MTC) is an uncommon thyroid cancer. The prevalence has been studied in two large European studies(1,2). Serum calcitonin provides a highly sensitive and specific tumour marker for this. We shall present a case which typifies the presentation of MTC and discuss its relevance.A 71-year-old gentleman of Italian descent was admitted in 2001 with left lower limb cellulitis. It was documented that he had an incidental goitre, that had been p...

ea0049gp100 | Diabetes therapy &amp; complications 1 | ECE2017

Type 1 diabetes and hearing loss: a meta-analysis

Mujica-Mota Mario , Patel Neel

Objective: Evidence shows type 1 diabetes leads to vascular damage and neuropathy. The purpose of this study was to perform a systematic review and a meta-analysis to asses the evidence of the effects of type 1 diabetes on hearing function.Methods: Three different electronic databases were used to identify eligible studies including a manual searching of references. The articles obtained were independently reviewed by two authors using predefined inclusi...