Endocrine Abstracts

Introduction: Pre-operative localization of parathyroid adenoma is generally done by two localization studies: ultrasonography (US) and parathyroid scintigraphy using 99 m-techentium sestamibi SPECT with CT (Tc-MIBI SPECT/CT), which also report on Incidental thyroid nodules. The aim of our retrospective study was to determine the incidence, characteristics and outcomes of these incidental thyroid findings during parathyroid imaging.Method: A database of ...

Case history: 49 year old female with learning disabilities who was being treated as epilepsy for 2 years and attended the GP surgery for routine bloods. Patient had a seizure like activity and fell onto both knees. X ray which showed a distal femur fracture which was undisplaced and was extra-articular and patellar fracture. Patient was found to be hypoglycaemic on the ward and she was treated with 10% dextrose infusions. She underwent Left knee exploration and repair of medi...

Cushing’s syndrome can occur as a consequence of prolonged exposure to excessive amounts of circulating free cortisol and the various causes can be broken down into exogenous causes, such as from steroid treatment for chronic illnesses, or endogenous as in this case. Cushing’s syndrome can be further classified into ACTH-dependent and ACTH-independent1, for which the latter accounts for 15–20% of all cases. This report highlights the case of a 35 year old female...

Background: Management of large indeterminate adrenal masses detected during pregnancy is challenging due to the risk of malignancy and the obstetric risks of surgical intervention. The spectrum of endocrine-related complications of Covid-19 is expanding. We present a case that highlights the challenging management of a large adrenal mass during pregnancy and draws attention to a rare complication of Covid-19.Case description: 26 yr-old lady presented wi...

Background: There are several good practices to improve DKA management across hospitals. However, the lack of a unified system limits comparisons and learning from each other.Objectives: To establish a DKA registry to identify best practices across centres in the West Midlands.Methods: All people admitted with DKA at four hospitals in the West Midlands (named A, B, C, D for anonymity) from 1st January 2020 to 31st December 2020 wer...

Background: Diabetic ketoacidosis (DKA) is the most common acute endocrine complication needing hospital admission. Morbidity and mortality resulting from DKA are largely preventable if we can identify and act on gaps in management in relation to current guidelines.Objectives: To establish a common DKA registry to identify gaps in management and share best practices across centres.Methods: All people admitted with DKA at four hospi...