Endocrine Abstracts

Introduction: Interaction of growth hormone system with Hypothalamic pituitary axis can be complicated, and the effect of GH treatment on thyroid function is still not completely clear. GH has inhibitory effect on conversion of T4 to reverse T3, while enhancing extrathyroidal conversion of T4 to T3.Objective: To assess thyroid function test in patients with growth hormone deficiency, receiving growth hormone replacement therapy in Slemani, Kurdistan regi...

Insulin is a life-saving drug but can be life threatening if not prescribed properly. A prospective, consecutive audit of insulin prescription was carried out on all medical and surgical patients admitted to South Tipperary General Hospital with types 1 and 2 diabetes mellitus in November 2013. The practice was compared with hospital guidelines which are consistent with other hospitals nationally. Three prescribing practices were audited: i) the prescription of insulin on insu...

Case history: A 75-year-old lady presented with sudden central chest discomfort to Emergency Department. The chest pain was preceded by palpitations. She had a background of Hypertension. She was non-smoker and otherwise fit and well. She mentioned receiving a steroid injection one day ago for joint pain. Her B.P on presentation was 226/106. Her physical examination was otherwise normal.Investigations: Her ECG on admission revealed atrial tachycardia and...

Background: Diabetes mellitus has become a serious problem worldwide. Effects of diabetes stress, in addition to the physical complications had mental complications that make its treatment difficult. Concept of empowerment, enabling patients to make informed decisions and play an active role in planning and decision-making in health-related activities\.Aim: To determine the effect of empowering on self-care and coping strategies with type 1 diabetes....

Hypothyroidism is a common endocrine condition and if untreated can have serious consequences in pregnant women. Generally, TSH receptor antibodies (TRAb) is performed in hyperthyroid pregnant women as high titres can cause foetal hyperthyroidism Neonatal thyrotoxicosis develops in 1% of infants born to thyrotoxic mothers due to placental transfer of TRAb.As part of management of hypothyroid pregnant women, TRAb are checked routinely in our hospital in k...

Background: Thyroiditis is ‘the disorder in which there is inflammation of the thyroid gland’. If diagnosed earlier have often good chances of recovery. Limited data is available related to this problem from low income countries and hence there is delay in the diagnosis and management of this important disorder. The objective of the study was to assess the clinical presentations and early outcome of patients presenting with thyroiditis in a tertiary care hospital.</p...

Objective: Cardiovascular disease (CVD) is mainly responsible for the high mortality and morbidity in type 2 diabetes. The aim of this study was to determine the prevalence and risk factors of CVD in type 2 diabetes.Methods: A total of 752 patients were included. History and physical examination were recorded. Laboratory tests included fasting blood sugar (FBS), glycated hemoglobin, lipid profile, uric acid, serum creatinine and microalbuminuria. In pati...

Case history: A 39 year old female presented reporting a 5-year history of swollen face, hands and feet, with associated joint pain. She was initially investigated for rheumatoid arthritis. She had no significant past medical history except for a previous miscarriage in 2014 and treatment for hypertension in a subsequent successful pregnancy. Post-partum she breastfed with no difficulty for 18-months but remained amenorrhoeic during this time. During 2016 she noticed increase ...

A 74 years old man prsented with gradually worsening confusion with associated jerky movements with background of well controlled type 2 Diabetes, CKD-3, IHD and previous duodenal ulcer. His was on Finasteride, Omeprazole, Mirtazapine, Tamsulocin, Metformin, Atorvastatin, Humulin I insulin. He was taking omeprazole for Duodenal ulcer since 1993.On examination he had jerky movements of the arms suggestive of muscles spasms. Res...

A 74 years old man prsented with gradually worsening confusion with associated jerky movements with background of well controlled type 2 Diabetes, CKD-3, IHD and previous duodenal ulcer. His was on Finasteride, Omeprazole, Mirtazapine, Tamsulocin, Metformin, Atorvastatin, Humulin I insulin. He was taking omeprazole for Duodenal ulcer since 1993.On examination he had jerky movements of the arms suggestive of muscles spasms. Res...