By Steven Jon Russell, Karen Klahr Miller (auth.), Terry F. Davies (eds.)
Written instances supply a considerate evaluate of contemporary administration and contemplation of the literature, even more so than even a case presentation with no the sufferer. therefore, in recent times the written or ready case has turn into the perfect discussion board for demonstrating how you can deal with a scientific challenge to the best good thing about the sufferer. In A Case-Based consultant to scientific Endocrinology, exceptional clinicians supply stimulating guide and insights right into a large choice of endocrine matters, educating readers smooth administration of the stipulations defined and providing detailed access into the literature. Importantly, the various very important parts within the present curriculum for scientific endocrine education as prompt by way of the organization of application administrators in scientific Endocrinology, Diabetes and Metabolism are coated during this textual content. to augment studying and retention of data, each one writer has additionally supplied a number of selection questions following the case reports. scholars, citizens, fellows, and practitioners will locate those examples to be an effective technique to evaluate their realizing and raise their abilities and talents in sufferer research and administration.
In all, A Case-Based consultant to scientific Endocrinology deals a accomplished quantity of concise case-studies that would end up to be of important value to all clinicians practising during this box.
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Additional info for A Case-Based Guide to Clinical Endocrinology
Lessons Learned Pituitary apoplexy (apoplexy meaning “sudden attack”, or “to be struck down”) is a clinical syndrome in which the abrupt onset of typical signs and symptoms (see below) result from hemorrhage or infarction within the pituitary or a pituitary tumor. Although almost all cases of pituitary apoplexy occur in the setting of a preexisting tumor, in most cases the tumor has not been diagnosed previously. In retrospect, many patients have a history consistent with endocrine deficiency or hyperfunction.
Endocrinol Metab Clin North Am 2005;34(2):459-478, xi. 3 Cushing’s Disease 33 Multiple-Choice Questions 1. Appropriate screening tests for Cushing’s syndrome include which of the following? A. B. C. D. E. Pituitary MRI 24-hour urine free cortisol Plasma ACTH Inferior petrosal ACTH sampling Late-night salivary cortisol 2. After the diagnosis of Cushing’s syndrome has been established, the initial diagnostic study should be which of the following? A. B. C. D. E. Pituitary MRI Dexamethasone suppression testing Plasma ACTH CT scan of the adrenal glands Inferior petrosal sinus ACTH sampling 3.
3, respectively. Recombinant human growth hormone was started and titrated to a mid-normal IGF-I. One year after presentation, the patient’s fatigue and irritability had resolved, and she had experienced a decrease in waist circumference, although her weight was stable. An MRI revealed no change, with no growth of the residual tumor. 0, respectively. How the Diagnosis Was Made In this case, the clinical diagnosis preoperatively was pituitary apoplexy in a likely clinically nonfunctioning macroadenoma.
A Case-Based Guide to Clinical Endocrinology by Steven Jon Russell, Karen Klahr Miller (auth.), Terry F. Davies (eds.)