Endocrine Abstracts

Erratic release of insulin accounts from periodic nature of the symptoms in insulinoma. Islet-amyloid polypeptide has been demonstrated in human insulin producing tumours- insulinoma. Presence of amyloid tissue has been demonstrated in pancreatic islets in patients with diabetes mellitus. Impaired islet function is a feature of diabetes mellitus. Hyperglycaemia, as in diabetes, enhances amylin secretion. Presence of insulinoma has been documented in past but insulionoma presen...

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Diabetes and impaired glucose tolerance are associated with increased risk of cardiovascular diseases. Criteria for high risk populations that should be screened for diabetes needs be revising.Hospital admissions are stressful events and abnormally high random blood glucose levels are not acted upon appropriately.We studied 100 consecutive admissions to coronary care unit to assess the incidence of hyperglycaemia/diabetes on admiss...

Normal range glycemia towards higher side has been shown to have a higher risk than lower range of glycemia(1).People with impaired glucose tolerance (IGT) with better glycemic control would be an ideal step towards prevention of coronary heart disease CHD.Prevalence of undiagnosed diabetes remains high(2). Diagnosis of diabetes is made too late in too many patients. By the time diagnosis is made complications have already settled ...

Introduction: In the modern day busy clinical practice the communication between patient and care giver is at minimal level. The patients feel apprehensive when advised about the surgical intervention. In such situation they feel the need of detail information from the care givers.Story telling is a tool which can be used for this problem. We intended to study the efficacy of storytelling technique on patients undergoing Hemithyroidectomy for benign cytology.<p class="abst...

Introduction: Thyroid surgery was initially considered as “horrid butchery” due to associated high morbidity and mortality, however with the advent of safe surgical techniques and improved understanding of thyroid physiology, thyroid surgery has become safer. Still there are certain intra-operative factors, as described in Difficulty Thyroidectomy Scale (DTS)which are thought to be associated with adverse outcome. However anatomical parameters also need to be address...

Introduction: At present patients and relatives garner more knowledge through website rather than direct interaction with the Consultant physician. We aimed at assessing whether Indian website about Endocrine Surgery matched with their counterpart abroad.Materials and methods: We identified two most searched Endocrine Surgery website world wide and 10 endocrine surgerywebsite maintained by trained Endocrine Surgeons (three years training leading to award...

We present two patients with significant hypokalaemia initially attributed to liquorice use.Case 1: A 52-year-old engineer was noted to have a potassium level of 2.5 mmol/l (3.5–5.3 mmol/l) at a Well Man check-up. He had no significant past history, and took no medications. He was normotensive. The patient reported regular liquorice use. The hypokalaemia corrected with supplementation equivalent to 48 mmol K+ daily, and with cessation of ...

Introduction: Children and young people with type 1 diabetes are usually managed by multidisciplinary teams (MDT) based in secondary care. Many of them have co-morbidities, which may or may not be associated with diabetes. Presence of co-morbidity increases health care needs and costs. Such co-morbidities in adult patients with diabetes are primarily managed by the general practitioners (GP) (Struijs, Baan et al.; 2006). Our aim was to analyse the prevalence of co-morbi...

Case Summary: A 72 year-old man presented with a one month history of anorexia, weight loss, lethargy, constipation, increased thirst and generalised aches and pains. He had a background of hypertension, ischaemic heart disease, aortic stenosis, and a renal transplant 23 years ago with declining renal function. No significant abnormalities were noted on physical examination. Investigations confirmed hypercalcaemia, with serum calcium rising from 2.8–3.05 mmol/l. This was ...