Endocrine Abstracts

Case Report: We reported a case of 54 year old lady who presented with symptomatic hyperthyroidism 11 years after total Thyroidectomy. She remained well controlled on average 100 mg of Levothyroxine until presented with persistently supressed TSH despite weaning off and later withdrawal of levothyroxine (T4 16 pmol/land TSH <0.03 pmol/l) and elevated Thyroid Stimulating Antibodies (TSI) (>40 iu/l). Her Thyroid ultrasonography showed remnants of thyroid tissue in the th...

Background: Hyponatraemia occurs in 10- 15% of hospital admissions and is associated with an increased rate of mortality, length of stay in hospital and readmission rates when compared to patients with normal sodium levels. We developed a hyponatraemia algorithm pdf document to all non endocrine general physicians (GPs) in our hospital to aid in managing hyponatraemia effectively. However when we re-audited our practice, these guidelines were rarely used and there was a large ...

We report a case of 39-year-old woman presenting with sudden severe abdominal pain and vomiting. She had a past medical history of anti-phospholipid antibody syndrome (APLS) diagnosed in the United States (US) 20 years ago. She had multiple episodes of vomiting over the last 10 years and was diagnosed with cyclical vomiting as investigations including CT abdomen and endoscopy did not reveal a structural cause. She was taking warfarin for APLS. She was haemodynamically stable a...

We report a case of 39-year-old woman presenting with sudden severe abdominal pain and vomiting. She had a past medical history of anti-phospholipid antibody syndrome (APLS) diagnosed in the United States (US) 20 years ago. She had multiple episodes of vomiting over the last 10 years and was diagnosed with cyclical vomiting as investigations including CT abdomen and endoscopy did not reveal a structural cause. She was taking warfarin for APLS. She was haemodynamically stable a...

Background: Clinically relevant pituitary adenomas (Pit PA) affect approximately 1:1200 of the general population, and may manifest with hormone hypersecretion, hypopituitarism and compression of the visual pathways. Primary aldosteronism (Adr PA) is now recognised to account for 5–14% of all cases of hypertension and is associated with excess morbidity when compared with primary hypertension. Here, we report a patient who was noted to have a history suggestive of Adr PA ...

Hyponatraemia is associated with an increased morbidity and mortality. Despite having a hyponatraemia algorithm (pdf format) on our hospital intranet, it was rarely accessed and a wide variation in care was noticed. A novel digital hyponatraemia diagnostic toolkit (hyponatraemia.wordpress.com) for Foundation doctors (FDs) was introduced to assess our aims if it: A) increases the awareness of FDs to start investigating when serum Sodium is <130 mmol/l B) increases FD...