Endocrine Abstracts

Case History-A 74 year old female patient presented to the emergency department following a witnessed seizure and profound hypoglycaemia (BM 1.1 mmol/l) with an initial GCS of 7/15. Collateral history described 4 days’ feeling unwell with reduced oral intake and multiple recent ‘vacant episodes’. An urgent CT head was unremarkable. Past medical history included hypothyroidism of several years’ duration on T4 50 mcg [3 months’ prior to admission, TSH wa...

Unusual causes for hypokalaemia in diabeticsA 36 year old diabetic presented acutely in October 2002. The history comprised anorexia, vomiting and lethargy for 5 days. He was non compliant with his medication (metformin 500mg bd) and drank excess alcohol.The pulse was 120 per minute regular, blood pressure 110/80, 34 respirations per minute, and a capillary glucose of 42 mg/dl.His Glasgow Coma Score was 13/15 and there were papular yellow skin lesions over his trun...

Background: Polycystic Ovary Syndrome (PCOS) is characterized as a triad of menstrual irregularities, hyperandrogenism and polycystic ovarian morphology. There is a wide variation in Body Mass Index (BMI) for those fitting PCOS criteria; Identifying differences in relation to Lean BMI patients’ endocrine markers such as LH/FSH ratio and other markers could help identify key areas for improved phenotypic classification. We aimed to focus on a sequential co...

We present a challenging case of a 51 years old men, diagnosed with diabetes as he presented to emergency department with osmotic symptoms and hyperglycaemia. He was started on insulin and referred to diabetes clinic.On review, glycaemic control was sub-optimal (HbA1c 94 mmol/mol) and his insulin was changed from biphasic to basal-bolus regimen. His BMI was 21 kg/m2 and no family history of diabetes was report...

We present a challenging case of a 51 years old men, diagnosed with diabetes as he presented to emergency department with osmotic symptoms and hyperglycaemia. He was started on insulin and referred to diabetes clinic.On review, glycaemic control was sub-optimal (HbA1c 94 mmol/mol) and his insulin was changed from biphasic to basal-bolus regimen. His BMI was 21 kg/m2 and no family history of diabetes was report...

Case history: We present a 61-year-old male with a background history of 47 XYY syndrome who was referred to the endocrine outpatient service with abnormal thyroid function tests. He has mild learning disabilities, asthma, action tremor, erectile dysfunction, and type 2 diabetes. He was tall in stature with obvious clinodactyly. He had been evaluated for his tremor by our Neurology colleagues. Investigations: His blood tests results were as follow- TSH 5...

Section 1: Case history: An 18 year old young man with a background of several years’ ADHD (Attention Deficit Hyperactivity Disorder) and moderate learning disability presented generally unwell, with recent weight loss, abdominal pain, vomiting and poor oral intake in May 2019. He had been unsettled for some time with his mother convinced that his current condition warranted further investigation. When blood tests were done, severe hyponatraemia and hyperkalaemia were fou...

Introduction: We present the use of WhatsApp messaging to improve engagement of young adolescents with type 1 diabetes mellitus at Ealing Hospital. This virtual community allows patients to share information and expertise in self-management to improve motivation, self-care and knowledge, and also bridging gaps between appointments. Patients find the diagnosis of diabetes socially isolating, and are 2–3 times more likely to suffer psychological issues. Social media is a hu...

Introduction: Diabetes Ketoacidosis, DKA, is a serious condition with significant morbidity and mortality. Most DKA patients are potassium deficient, but present with hyperkalaemia due to severe acidosis and insulin deficiency. Hypokalaemia at presentation of DKA is extremely uncommon.Clinical case: A 25 year old man was admitted with severe DKA as a first presentation of diabetes. His venous pH was 6.97, bicarbonate 3.0 mmol/l, potassium 3.4 mmol/l. He ...

Introduction: Hyperparathyroidism is the most common cause of hypercalcemia. We present another endocrine cause for hypercalcemia.Case report: A 49 year old Afro Caribbean man, previously healthy, was admitted with abdominal pain. He had been complaining of a 2 week history of epigastric pain, loose stools, sweating and shortness of breath. On examination, the patient was unwell, afebrile with epigastric tenderness. Bloods results showed anaemia, Haemogl...