Endocrine Abstracts

Introduction: Evidence suggests that ionised calcium (iCa) and not total calcium is the physiologically relevant blood calcium component. Most blood gas (BG) analysers calculate iCa, but this is often ignored. We report our findings from a retrospective audit in medical in-patients and the potential benefit of this underused resource.Methods: A retrospective audit of admissions to two general medical/endocrine wards during January and February 2016. Data...

Introduction: Hyperglycemia (irrespective of the presence of diabetes) has been associated with worse outcomes in hospitalized patients with a variety of diseases, namely critical illness. It is been recently proposed that a relative hyperglycemia – Stress Hyperglycemia Ratio (SHR) – might be even better associated with disease outcomes. We studied how SHR correlated with various morbidity parameters in hospitalized patients due to acute pyelonephritis.<p class="...

Background: People with diabetes account for 15–20% of total inpatients in Scottish hospitals. Provision of specialised diabetes care is integral in minimising length of stay and diabetes-related complications in such patients. Consequently, inpatient diabetes teams have been implemented throughout the UK as recommended by the Joint British Diabetes Societies.Methods: The amalgamation of several Glasgow hospitals into a single large teaching hospita...

Introduction: The prevalence of hyperthyroidism in patients admitted in Internal Medicine at Spanish hospitals is 0.8%. Proper diagnosis and management of HTD in these patients is still a challenge and therefore, the analyses of the factors involved in the prognosis and survival is of interest.Methods: Data from the minimum-data-set (MDS) of Spanish National health System were collected during 2005–2012 from discharged patients of Internal Medicine ...

Introduction: An important part of diabetes management is maintaining high standards of in-patient care. A previous audit in the south of England demonstrated difficulties consistently achieving standards identified as good practice. This audit aimed to identify current standards of in-patient care provided to children with type 1 diabetes across the Yorkshire and Humber region.Methods: The audit was conducted against in-patient care standards identified...

Background: The clinical presentation of hyperthyroidism has been studied in the ambulatory caresetting. Our hospital performs a TSH test for all newly admitted patients.Aim: To describe the clinical presentation of patients with overt hyperthyroidism during hospitalization and to study the association between thyroid hormone levels and the clinical picture.Methods: A retrospective study of 250 hospitalized patients from an 11-year...

Introduction: Serum C Peptide is traditionally used to diagnose factitious Hypoglycaemia due to exogenous Insulin. However in our case we were able to initiate child protection work up on the basis of skin marks which were noted during child’s admission in hospital.Case report: 2-year-old male presented with 3 days history of diarrhoea and vomiting. Past history and examination were unremarkable. Mother had gestational diabetes and was on insulin du...

Background: Amongst hospitalised patients, hyponatraemia is the commonest electrolyte abnormality with reported prevalence of about 25%. Its association with mortality, morbidity and increased length of stay is well recognised, including adverse fracture risk and falls with mild hyponatraemia in elderly. We audited the management of hyponatraemia in inpatients in a University hospital setting.Methods: Over a 3-month period, amongst all in-patients, we id...

Introduction: People with type 1 or type 2 diabetes mellitus are frequently admitted to a hospital, usually for treatment of conditions other than the diabetes. Whether in hospital or not, glycemic control is likely to become unstable in these patients because of the stress of the illness or procedure, the concomitant changes in dietary intake and physical activity, and the frequent interruption of the patient’s usual antihyperglycemic regimen. Once in the hospital, the l...

Rapid and appropriate response to an Adrenal crisis is a matter of life and death. Could greater patient and professional awareness together with modern technology assist in preventing mortality? Patients often first present with adrenal crisis in A&E departments. Whether the cause is primary or secondary adrenal failure, the initial treatment remains the same. Our objective was threefold: Educate and give greater awareness of steroid therapy to hospital staff, educate and...