Searchable abstracts of presentations at key conferences in endocrinology

ea0059p066 | Clinical practice, governance & case reports | SFEBES2018

Cranial Diabetes Insipidus – A survey of patient safety concerns in secondary care

Gohil Shailesh , Reddy Narendra , Levy Miles

Background: Knowledge of Cranial Diabetes Insipidus (CDI) is poor amongst healthcare professionals. Intra-nasal Desmopressin sprays are often mistaken for pulmonary inhalers, and Diabetes Insipidus mistaken for Diabetes Mellitus, leading to incorrect management and harm. Correct Desmopressin administration and fluid management is paramount in inpatients, especially in reduced conscious states.Aim: To explore Clinicians’ concerns regarding safety iss...

ea0077p256 | Thyroid | SFEBES2021

Audit of Liothyronine Prescribing at the University Hospitals of Leicester (UHL) NHS Trust

Al Jumaah Ali , Levy Miles , Bhake Ragini , Reddy Narendra

Introduction: Levothyroxine is the first choice treatment for patients with hypothyroidism However, some people would continue to have symptoms of thyroid disease despite biochemical control on levothyroxine. Others might be intolerant to levothyroxine.Aim: The aim of this audit is to evaluate UHL endocrinology practice against local and national guidelines with regards to prescribing and monitoring of liothyronine treatment in 2019.<p class="abstext...

ea0077lb52 | Late Breaking | SFEBES2021

Central serous retinopathy as a manifestation of cushing’s disease – two case reports

Dales Jolyon , Bhake Ragini , Levy Miles , Reddy Narendra

Introduction: The hypercortisolaemic state of Cushing’s syndrome can lead to ophthalmic complications. We present two case reports of rare association of central serous retinopathy (CSR) and Cushing’s syndrome.Case 1: A 46-year-old man presented with gradual deteriorating vision. He was diagnosed with CSR and was referred to the Endocrine department for screening for Cushing’s given suspicious clinical features. Past history included hyper...

ea0050p371 | Reproduction | SFEBES2017

Standardisation of care: a quality improvement project in Polycystic Ovary Syndrome (PCOS) clinic

Mani Hamidreza , Bhake Ragini , Levy Miles , Reddy Narendra

Background: Considering the high prevalence of metabolic and mental health issues associated with PCOS, it is important to screen for these routinely in clinic. We aimed to implement a standard approach to ensure we do this in our specialist PCOS clinic.Methods: We introduced a standard ‘PCOS clinic pack’ which included the following documents and data collected for analysis1. Checklist for doctors to e...

ea0050ep059 | Neoplasia, Cancer and Late Effects | SFEBES2017

Pneumocystis pneumonia in Cushing’s syndrome due to ectopic ACTH

Papamargaritis Dimitris , Jafery Syed , Bhake Ragini , Reddy Narendra , Levy Miles

Introduction: Opportunistic infections are a recognised complication of severe hypercortisolism. We report a case of Pneumocystis Pneumonia (PCP for formerly named Pneumocystis carinii pneumonia) in patient with ectopic Cushing's syndrome (CS) caused by a metastatic neuroendocrine carcinoma of the lung.Case history: A 61-year old male attended the Acute Medical Unit for investigation and treatment of seve...

ea0050p371 | Reproduction | SFEBES2017

Standardisation of care: a quality improvement project in Polycystic Ovary Syndrome (PCOS) clinic

Mani Hamidreza , Bhake Ragini , Levy Miles , Reddy Narendra

Background: Considering the high prevalence of metabolic and mental health issues associated with PCOS, it is important to screen for these routinely in clinic. We aimed to implement a standard approach to ensure we do this in our specialist PCOS clinic.Methods: We introduced a standard ‘PCOS clinic pack’ which included the following documents and data collected for analysis1. Checklist for doctors to e...

ea0050ep059 | Neoplasia, Cancer and Late Effects | SFEBES2017

Pneumocystis pneumonia in Cushing’s syndrome due to ectopic ACTH

Papamargaritis Dimitris , Jafery Syed , Bhake Ragini , Reddy Narendra , Levy Miles

Introduction: Opportunistic infections are a recognised complication of severe hypercortisolism. We report a case of Pneumocystis Pneumonia (PCP for formerly named Pneumocystis carinii pneumonia) in patient with ectopic Cushing's syndrome (CS) caused by a metastatic neuroendocrine carcinoma of the lung.Case history: A 61-year old male attended the Acute Medical Unit for investigation and treatment of seve...

ea0065p26 | Adrenal and Cardiovascular | SFEBES2019

A cross-sectional audit reviewing the management of adults with congenital adrenal hyperplasia in Leicester

Quinn Lauren , Baldwin Andrew , Levy Miles , Reddy Narendra , Bhake Ragini

Introduction: Following the recent publication of The Endocrine Society Clinical Practice guideline for Congenital Adrenal Hyperplasia (CAH), we performed an evaluation of the service provided for adults with CAH to assess how well we are meeting the guideline standard and to make recommendations for service improvement.Methods: We performed an audit of adults with CAH under the care of the University Hospitals of Leicester. We undertook a cross-sectiona...

ea0044ep57 | (1) | SFEBES2016

Co-existent macro-prolactinoma, raised free T4 and right sided facial nerve palsy

Gohil Shailesh , Bhake Ragini , Reddy Narendra , Levy Miles

Background: Pituitary adenomas commonly present with palsies involving the cranial nerves in the cavernous sinus. It is unusual, however, for other cranial nerve palsies to co-present and to have biochemical results that do not fit with the clinical picture.Case: A 47 year old man was admitted with 3 days of headache, vomiting, right sided facial paraesthesia and facial droop. He had no symptoms suggestive of endocrine disturbance. Neurological examinati...

ea0059p144 | Neuroendocrinology and pituitary | SFEBES2018

25 years of sporadic insulinomas - A case series

Dales Jolyon , Bhake Ragini , Reddy Narendra , Levy Miles

Introduction: An insulinoma is a rare neuro-endocrine tumour originating in the pancreatic beta-cells with unregulated secretion of insulin resulting in profound hypoglycaemia.Methods: A search of electronic hospital records identified all patients with a primary diagnosis of insulinoma. Clinic and discharge letters, radiology investigations, laboratory investigations and case notes were reviewed to highlight the presentation, investigations and laborato...