Searchable abstracts of presentations at key conferences in endocrinology

ea0059n2.3b | Nurse Session 2: Adrenal crisis & steroid education; raising the safety bar | SFEBES2018

Adrenal crisis, not always the obvious – Case study

Shepherd Lisa

Delay in establishing a diagnosis of adrenal insufficiency can lead to adrenal crisis. An adrenal crisis is a potential life-threatening complication of adrenal insufficiency, and can lead to increased morbidity and mortality if not treated appropriately. Adrenal crises have been defined as ‘acute disturbances of physiology that happen when the circulating levels of adrenal steroid hormones are insufficient for physiological requirements’. Adrenal crisis related deat...

ea0065p342 | Nursing practice | SFEBES2019

More than just tea and cake. The benefit of patient to patient peer support

Shepherd Lisa M , Kauser Samina

Introduction: Acromegaly is caused by excessive growth hormone production and elevated IGF-1 levels. Annual incidence rates are reported to be between 0.2 and 1.1 cases/100 000 people, with a prevalence of 2.8–13.7 cases/100 000 people. Small numbers make it difficult to differentiate any differences between sex. A recent increase in the number of females diagnosed with acromegaly at our centre, voiced a need for peer and psychological support. It is known that acromegaly...

ea0013p187 | Diabetes, metabolism and cardiovascular | SFEBES2007

The prevalence and detection of vitamin d insufficiency in Asian patients with type 2 diabetes

Yemparala Meher Prasad , Shepherd Lisa , Rahim A , Bates AS

Aim: To determine the prevalence of vitamin D insufficiency in Asian patients with type 2 diabetes and to determine the most appropriate screening investigations.Introduction: The high prevalence of vitamin D deficiency and type 2 diabetes in the Asian community is well recognised. Vitamin D insufficiency (levels < 50 nmol/l) is associated with impaired insulin secretion and increased insulin resistance. The prevalence of Vitamin D insufficiency in p...

ea0086p150 | Nursing Practice | SFEBES2022

Use of Health Literacy Tools to Improve Written Information for Patients with or at Risk of Adrenal Insufficiency

Shepherd Lisa , Asia Miriam , Breen Louise

Background: The National Patient Safety Alert (2020) and introduction of the NHS Steroid Emergency Card has led to the development of guidelines, publications and patient information, aiming to improve safety and management of adrenal insufficiency and prevention of adrenal crisis. Health Education England (HEE), ‘Plain English’ and NHS England guidance recommends patient information is accessible and clear to a broad range of people, to ensure patients are fully awa...

ea0055cb13 | Additional Cases | SFEEU2018

Insulinoma – atypical response to tests and uncommon adverse effects to medical treatment

Kempegowda Punith , Kauser Samina , Shepherd Lisa , Ahmed Mohamed Salih

Background: Insulinoma is the most common cause of hypoglycaemia due to endogenous hyperinsulinemia. However, they can sometimes present with atypical features. Some of the patients can also develop serious adverse effects to medical treatment. We present a case with atypical features and further developed serious adverse effects with medical treatment for insulinoma.Case presentation: A 42-year-old Caucasian female presented with recurr...

ea0050p312 | Nursing Practice | SFEBES2017

Endocrine clinical nurse specialist nurse led clinics – Legal considerations of practice.

Shepherd Lisa , Marland Anne , Austin Rachel , Turner Helen

Introduction: In 2015, a service evaluation of endocrine clinical nurse specialist (CNS) nurse led clinics (NLC) demonstrated they took on a variety of formats to meet local service and patient population requirements. Continuing professional development (CPD) is a fundamental and legal requirement of nursing practice. However, because of the introduction of NMC revalidation in 2016 and recent medicolegal developments such as confidentiality, duty of can...

ea0050p312 | Nursing Practice | SFEBES2017

Endocrine clinical nurse specialist nurse led clinics – Legal considerations of practice.

Shepherd Lisa , Marland Anne , Austin Rachel , Turner Helen

Introduction: In 2015, a service evaluation of endocrine clinical nurse specialist (CNS) nurse led clinics (NLC) demonstrated they took on a variety of formats to meet local service and patient population requirements. Continuing professional development (CPD) is a fundamental and legal requirement of nursing practice. However, because of the introduction of NMC revalidation in 2016 and recent medicolegal developments such as confidentiality, duty of can...

ea0065p53 | Adrenal and Cardiovascular | SFEBES2019

Adrenal suppression following Herbal remedy for Nasal Polyps....not to be sniffed at

Kauser Samina , Shepherd Lisa , Dar Shujah , Lawson Alex , Shakher Jayadave

A 69-year-old South Asian male presented in A+E with hyponatremia. He had pervious history of Lyme Node TB (treated 2014), Asthma and Nasal Polyps. Medication history, patient was taking Fludrocortisone nasal spray for the 30–40 years and Seretide inhaler. Also, CT scans at admission did not identify relapse in Lyme Node TB. Upon investigation he was found to have undetectable morning cortisol (<28 mmols). He was started on Hydrocortisone 10 mg, 5 mg and 5 mg regime, ...

ea0041gp3 | Adrenal | ECE2016

Follow-up of adrenal incidentalomas – are we overdoing it? Follow-up of 145 patients from a single centre

Austin Emily , Miller Ben , Shepherd Lisa , Bates Andrew

Background: Current practice of monitoring adrenal incidentalomas with biochemical follow-up and repeat imaging studies is under review by the ESE.Following an audit presented in 2015, we proposed that this extensive follow-up was unnecessary in radiologically benign lesions, as neither functional nor malignant lesions were present in this subgroup.Methods: A retrospective review of the same cohort of 145 patients with adrenal inci...

ea0038p49 | Clinical practice/governance and case reports | SFEBES2015

Outcome of patients with adrenal incidentalomas: an analysis of 145 patients from a single centre

Austin Emily , Rahim Asad , Shepherd Lisa , Bates Andrew

Adrenal incidentalomas are a common clinical dilemma with increasing utilisation of cross-sectional imaging modalities. The aims of management include: i) exclusion of possible malignancy and ii) identification of hormonally active lesions.Our unit has adopted AACE guidelines, including a screen for adrenal androgen hypersecretion. This audit aimed to review the utility of such an approach.We identified case notes of 145 consecutiv...