Searchable abstracts of presentations at key conferences in endocrinology

ea0049gp115 | Endocrine Nursing | ECE2017

Education, patient empowerment and admission avoidance

Hawkins Anna , Casey Edel , Nikookam Khash

It is paramount to educate our patients, thereby empowering them to manage their chronic conditions. This is an evidence based fact. As healthcare professionals our challenge is to provide and ensure patients have been well informed in order to understand and manage their condition successfully on a daily basis.In today’s healthcare service patient education has become a casualty of the reduced resources; there are ever increasing restrictions on bo...

ea0028p106 | Clinical practice/governance and case reports | SFEBES2012

A fatal outcome of a patient with a thyroid goitre

Chahal Harvinder , Nikookam Kash , Casey Edel

We report a case of a female patient who initially presented aged 35 yr with shortness of breath and type 2 respiratory failure at 12 weeks of her pregnancy. She was previously known to have a multinodular goitre under another hospital, which had been stable for several years, and had no other medical problems. Clinically and biochemically she was euthyroid (free T4 12.6 pmol/L [11.0–23.3], TSH 0.42 mu/L) and there were no signs of obstruction. An ultrasound scan showed a...

ea0056p909 | Endocrine Nursing | ECE2018

Testosterone replacement: ‘The best practice’

Hawkins Anna , Casey Edel , Nikookam Khash

Testosterone deficiency syndrome (TDS) may well contribute to a number of co-morbidities and multitude of symptoms which may affect one’s daily activities adversely. TDS prevalence in UK is 5:1000 and certain groups of patient’s are at higher risk of TDS, in particular elderly and patients with diabetes mellitus where 42% are known to have TDS. A retrospective audit was carried out to bench mark our practice in line with a publication of a recommended National/Europe...

ea0049ep308 | Calcium & Vitamin D metabolism | ECE2017

Giants walk amongst us

Tanday Raj , Grant Bonnie , Ojo Akin , Casey Edel , Nikookam Khash

We present the case of a 51-year-old gentleman who had a giant parathyroid adenoma. He has a past medical history of deep vein thrombosis and hypertension. He is taking amlodipine 10 mg od. He is a non-smoker and drinks alcohol in moderation. He was admitted with right leg swelling found to be a new thrombosis. Incidental finding of extreme hypercalcaemia found on bloods with raised PTH (CorrCa 4.23 mmol/l, PTH 83.1 pmol/l.) Patient was completely asymptomatic. CT imaging of c...

ea0049ep1354 | Thyroid (non-cancer) | ECE2017

They think it’s all ovar(ii)

Tanday Raj , Grant Bonnie , Kollipara Premila , Casey Edel , Nikookam Khash

A 37 year old woman was referred to the endocrinology clinic from the gynaecologists. She was awaiting an 8 cm left ovarian cyst removal and found to be hyperthyroid (fT3 7.8 pmol/l, fT4 of 19.0 pmol/l, TSH <0.01 mU/l). She described 4 months of palpitations, change in bowel habit and menstrual irregularity. She had no tremor or tachycardia. She had no palpable goitre or eye signs. She had a past medical history of asthma on inhalers. There was no family history of thyroid...

ea0044ep49 | (1) | SFEBES2016

A case of Euglycaemic Diabetic Ketoacidosis in a patient treated with Canagliflozin

Hodson Katherine , Pasha Nida , Casey Edel , Yakandawala Gangani , Stojanovic Nemanja

Canagliflozin is an oral hypoglycemic agent from the novel class of Sodium Glucose co-Transporter 2 (SGLT2) inhibitors, used in the treatment of patients with Type 2 Diabetes Mellitus (T2DM). Although effective in treatment of hyperglycemia, these medications have been linked to development of diabetic ketoacidosis (DKA) in patients with T2DM. We describe the case of a patient with T2DM, who presented with severe metabolic acidosis while taking Canagliflozin.<p class="abst...

ea0041gp105 | Endocrine Nursing | ECE2016

Short synacthen test – ESN only?

Hawkins Anna , Solomou Solomis , Nikookam Yasmin , Casey Edel , Nikookam Khash

In the National Health Service (UK), there are ever increasing demands to streamline care and develop patient pathways and guidelines as justification for any test or procedure. This is to ensure optimisation in patient care and experience.The role of a specialist nurse focuses on ensuring appropriateness and swiftness of investigations, including providing a high level of clinical care which has its foundations on communication and education for the pat...

ea0035p320 | Clinical case reports Thyroid/Others | ECE2014

Recurrent debilitating thyroiditis

Abdin Ayman , Hussain Shazia , Hawkins Anna , Casey Edel , Nikookam Khash

Case: A 46-years-old anaesthetist presented with 2 weeks history of general malaise, sore throat, and fever. Symptoms started while on holiday. A diagnosis of subacute thyroiditis was made overseas based on presentation and suppressed TSH level. He was started on betamethasone 4mg and ibuprofen for 2 weeks with rapid symptomatic improvement. He felt well enough to travel back to UK. He then presented to our hospital with recurrent symptoms as above.Inves...

ea0035p552 | Endocrine tumours and neoplasia | ECE2014

Insulinoma, recurrent hypoglycaemia: a debilitating condition

Hussain Shazia , Abdin Ayman , Hawkins Anna , Casey Edel , Nikookam Khash

Insulinomas are rare neuroendocrine tumours that classically present with a combination of symptomatic hypoglycaemia, low serum glucose values and resolution of symptoms post glucose ingestion.We describe a 65-year-old lady who repeatedly presented over several years with recurrent infections, predominantly of the urinary tract, nausea and diarrhoea, necessitating frequent hospital admissions. Despite extensive investigations, no clear cause for her symp...

ea0028p108 | Clinical practice/governance and case reports | SFEBES2012

Hypoglycaemia: a near death experience

Chahal Harvinder , Casey Edel , Hawkins Anna , Nikookam Kash

We report a case of a 27 yr female patient who initially presented with jaundice at 38 weeks gestation, with biochemical transaminitis. She had a caesarean section which was complicated postoperatively by hypotension due to haemorrhage requiring 20 units of blood/blood-products. A specialist liver unit felt the jaundice was secondary to fatty liver of pregnancy. She had difficulty breastfeeding and 18 months post partum she still had secondary amenorrhea so was commenced onto ...