Searchable abstracts of presentations at key conferences in endocrinology

ea0011p312 | Diabetes, metabolism and cardiovascular | ECE2006

A case of myocardial infarction induced by factitious hypoglycaemia in type 2 diabetes patient

Srinivasan R , Sanders E , Flynn M

Introduction: Insulin is widely used in Type 2 patients to control the blood sugar when the oral hypoglycaemic agents fail. This is a case report of a type 2 diabetes patient who developed Myocardial Infarction after factitious hypoglycaemia with insulin.Case report: A 64-year-old gentleman with known Ischaemic Heart Disease was treated with insulin (Mixtard 30) and metformin for his type 2 diabetes. He presented to diabetes Specialist nurse with persist...

ea0009p159 | Thyroid | BES2005

Effects of maternal hyperthyroidism during early gestation on neonatal and obstetric outcome

Idris I , Srinivasan R , Simms A , Page R

Background: Maternal hyperthyroidism (MH) during late pregnancy is associated with adverse neonatal outcomes but the effects of MH in early gestation when managed in a specialised joint obstetric endocrine clinic setting is unclear. Objectives: To evaluate the obstetric and neonatal outcomes of maternal hyperthyroidism presenting during early gestation. Methods: Endocrine and obstetric record of 40 pregnancies with active hyperthyroidism managed in the antenatal endocrine clin...

ea0013p98 | Clinical practice/governance and case reports | SFEBES2007

Unusual cause of adrenal insufficiency

Srinivasan R , Cheah Yee , Flynn M , Joseph Stonny

Case History: 54 year old man was admitted with 3 week history of dizziness and feeling unsteady on feet. He also had persistent central abdominal pain with no vomiting or diarrhoea. On examination, his lying and standing BP were 117/75 and 73/43 mm Hg respectively. He had tenderness over the right hypochondrium and right lumbar region. His initial investigations showed sodium – 128 mmol/L and potassium – 4.2 mmol/L. Short synacthen test was arranged and the cortisol...

ea0007p253 | Clinical case reports | BES2004

Myocardial infarction due to coronary artery spasm in a patient with thyrotoxicosis

Srinivasan R , Sturrock N , Morris K , Patel K

BACKGROUNDAngina and Myocardial infarction have been reported in hyperthyroidism. Intense coronary artery spasm can be life threatening as it can lead to ventricular fibrillation and haemodynamic instability as reported in this patient.CASE HISTORYA 45-year-old lady was admitted with a history of head aches, palpitations, diarrhoea and weight loss. She was subsequently found to have thyrotoxicosis with the th...

ea0006p4 | Clinical case reports | SFE2003

Acromegaly with Optic Atrophy in a case of Macroadenoma of pituitary with no pressure effect on Optic Chiasm

Srinivasan R , Thomson G , Kumar V , Fernando D

Background: 20% of patients with acromegaly can have visual field defect due to compression of optic chiasm. This patient presented with visual field defect but no evidence of pressure effect on optic chiasm, but later found to have pituitary macroadenoma and acromegaly.Clinical Details: 59 yr old man presented 7 years ago to ophthalmologist with left inferior field defect of 2 months duration. The field defect was confirmed with perimetry. Subsequent CT...

ea0006dp21 | Diabetes, metabolism and cardiovascular | SFE2003

An Audit On Adherence To Renal Guidelines in Prevention and Early Management of Renal disease in Type 2 Diabetes

Srinivasan R , Thomson G , Kumar V , Fernando D

IntroductionRenal disease in type 2 diabetes can be prevented and limited with early detection and management of the condition. We studied the adherence of renal guidelines introduced by national institute of clinical excellence (NICE), in patients who attended the annual review in the last 12 months.MethodsAudit standards were based on guidelines for Prevention and Early Management of Renal disease in Type 2...

ea0013p97 | Clinical practice/governance and case reports | SFEBES2007

Endocrine hypofunction as a consequence of metastatic cancer

Srinivasan R , Flood J , Thomas SM , Brackenridge AL , Carroll PV , Powrie JK

Introduction: Endocrine deficiency as a result of glandular infiltration by metastatic cancer is considered rare. Metastases to the adrenal cortex are relatively common and we present the clinical presentation and radiological appearances of cases involving pituitary and adrenal metastases.Case histories: Case 1: An 84 year old male with bronchogenic carcinoma presented with lethargy, polyuria and dehydration. The serum Na+ was 156 mmol...