Endocrine Abstracts

57 year old with a low 0900 h cortisol (40 nmol/l) was referred for an urgent short Synacthen test (SST). Recently during a respiratory clinic visit, he had complained of feeling very tired but there were no other symptoms to suggest adrenal insufficiency. He had a background history of ABPA, Asthma and hypothyroidism. His current medications were Symbicort Inhaler, Vitamin D3, Levothyroxine, Montelukast and Itraconazole. He had been on Symbicort for over 2 years and his Itrac...

A 60-year-old lady with known Rheumatoid arthritis, Ulcerative colitis and hypothyroidism was admitted with a 10-day history of diarrhoea and vomiting in June 2017. Sodium on admission was 107. Sodium rapidly improved with intravenous (IV) saline. She had 3 further admissions in quick succession in July and August. She always had a quick response to IV saline, but sodium dropped once IV Saline was withdrawn. She was started on oral sodium replacement but this had no effect on ...

79 year old male had been admitted due to multiple falls within a space of 24 hours. On admission, he had a full set of bloods which showed hypercalcaemia and no other significant abnormality. His past medical history included Prostate Cancer, Type 2 Diabetes and Urinary retention for which he had a long-term catheter in situ. His current medications were Linagliptin, Apixaban, Bicalutamide and simple analgesia. Initially, he was fluid resuscitated, which seemed to im...