Download A Case-Based Guide to Clinical Endocrinology by Steven Jon Russell, Karen Klahr Miller (auth.), Terry F. PDF

By Steven Jon Russell, Karen Klahr Miller (auth.), Terry F. Davies (eds.)

Written situations offer a considerate assessment of recent administration and contemplation of the literature, even more so than even a case presentation with out the sufferer. for that reason, lately the written or ready case has develop into the best discussion board for demonstrating easy methods to deal with a scientific challenge to the best good thing about the sufferer. In A Case-Based consultant to scientific Endocrinology, extraordinary clinicians supply stimulating guide and insights right into a big choice of endocrine matters, instructing readers glossy administration of the stipulations defined and supplying particular access into the literature. Importantly, the various vital parts within the present curriculum for medical endocrine education as instructed through the organization of application administrators in medical Endocrinology, Diabetes and Metabolism are coated during this textual content. to enhance studying and retention of information, each one writer has additionally supplied a number of selection questions following the case stories. scholars, citizens, fellows, and practitioners will locate those examples to be an effective strategy to assessment their knowing and bring up their talents and talents in sufferer research and administration.

In all, A Case-Based advisor to scientific Endocrinology deals a entire quantity of concise case-studies that may end up to be of vital value to all clinicians training during this box.

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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.

There was normal thyroidal blood flow on Doppler. 1% (normal, 20–25%). Background Amiodarone is a class III antiarrhythmic agent that has been associated with a wide array of serious cardiac, pulmonary, hepatic, ocular, and thyroid side effects. 5% of the mass of amiodarone is made up of iodine, a patient taking a daily dose of 200 mg of amiodarone consumes about 75 mg of organic iodine daily [1]. Metabolism of this amount of iodine releases an amount of free iodine into the circulation that is about 20 to 40 times higher than the daily iodine intake in the United States [1].

Miller Apoplexy associated with visual disturbance is considered a neurosurgical emergency because decompression of the optic chiasm is essential to conserve vision. There is evidence that some cases of apoplexy can be managed medically, although what fraction of patients may be managed this way, and the criteria for their selection, are controversial. One prospective study treated apoplexy patients initially with high-dose glucocorticoids, and then crossed over to surgery if glucocorticoid therapy failed to improve ophthalmoplegia, visual loss, or impaired consciousness [3].

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