A Case-Based Guide to Clinical Endocrinology

by Davies, Terry F.

• ISBN13: 9781588298157
• ISBN10: 1588298159
• Edition: 1st
• Format: Hardcover
• Copyright: 2008-06-30
• Publisher: Humana Pr Inc

Summary

Written cases provide a thoughtful review of modern management and contemplation of the literature, much more so than even a case presentation without the patient. As a result, in recent years the written or prepared case has become the ideal forum for demonstrating how to manage a medical problem to the greatest benefit of the patient. In A Case-Based Guide to Clinical Endocrinology, distinguished clinicians provide stimulating instruction and insights into a wide variety of endocrine subjects, teaching readers modern management of the conditions described and offering targeted entry into the literature. Many of the important elements in the current curriculum for clinical endocrine training as recommended by the Association of Program Directors in Clinical Endocrinology, Diabetes, and Metabolism are covered in this text. To reinforce learning and retention of knowledge, each author has also provided multiple choice questions following the case studies. Students, residents, fellows, and practitioners will find these examples to be an efficient way to review their understanding and increase their skills and abilities in patient investigation and management. In all, A Case-Based Guide to Clinical Endocrinology offers a comprehensive volume of concise case studies that will prove to be of significant importance to all clinicians practicing in this field. Book jacket.

Table of Contents

Preface	p. v
Contributors	p. xv
The Pituitary Gland
Introduction	p. 3
Pituitary Apoplexy	p. 9
When and How to Stop Cabergoline Treatment in Microprolactinomas	p. 19
Cushing's Disease	p. 27
Thyroid Overactivity
Introduction	p. 37
Amiodarone-Induced Hyperthyroidism	p. 41
Interferon-Induced Hyperthyroidism	p. 49
Subclinical Hyperthyroidism Due to a Multinodular Thyroid	p. 61
Subacute (De Quervain's) Thyroiditis	p. 67
Thyroid Underactivity
Introduction	p. 75
Amiodarone-Induced Hypothyroidism	p. 77
Autoimmune Hypothyroidism with Persistent Elevation of TSH	p. 85
Hashimoto's Thyroiditis and Type 1 Diabetes	p. 93
Thyroid Cancer
Introduction	p. 103
Papillary Thyroid Cancer	p. 109
Metastatic Papillary Thyroid Cancer	p. 121
Medullary Thyroid Cancer	p. 127
Follicular Thyroid Carcinoma with Pulmonary and Osseous Metastases	p. 139
Adrenal
Adrenal Insufficiency	p. 155
Cushing's Syndrome	p. 159
An Incidentally Discovered Adrenal Mass	p. 163
Hyperparathyroidism
Introduction	p. 169
Differentiation of Primary Hyperparathyroidism for Familial Benign Hypocalciuric Hypercalcemia	p. 179
Management and Investigation of Acute Hypercalcemia	p. 183
Evaluation of Complex Primary Hyperparathyroidism	p. 187
Evaluation of Hypercalcemia in Infancy	p. 191
Metabolic Bone Diseases
Introduction	p. 197
Osteoporosis Due to Hormonal Withdrawal: Common Mistakes	p. 203
Osteomalacia: A Cause of Bisphosphonate Failure	p. 209
Unusual Manifestations of Paget's Disease of Bone	p. 215
Solid Organ Transplantation, Chronic Renal Impairment, and Skeletal Complications	p. 223
Endocrine Disorders of Males
Introduction	p. 231
Congenital Isolated Hypogonadotropic Hypogonadism	p. 233
Klinefelter Syndrome	p. 241
Low Testosterone in Obesity and Type 2 Diabetes	p. 253
Female Reproduction
Introduction	p. 263
Central Hypogonadism	p. 273
Premature Ovarian Failure	p. 279
Oligomenorrhea and Hyperandrogenemia	p. 285
Pregnancy
Introduction	p. 295
Hypertension in Pregnancy and Women with Child-Bearing Potential	p. 299
Hashimoto's Hypothyroidism During Pregnancy	p. 305
Type I Diabetes Mellitus During Pregnancy	p. 309
Type 1 Diabetes
Introduction	p. 321
Type 1 Diabetes Onset with Ketoacidosis and Suspected Cerebral Edema	p. 327
En Passant Diagnosis of Type 1 Diabetes in Infancy	p. 331
Type 1 Diabetes and Comorbidity of Addison's Disease	p. 337
Type 2 Diabetes
Introduction	p. 343
Exenatide in Type 2 Diabetes: Indications and Initiation	p. 347
Insulin Therapy in the Management of Diabetes Mellitus Type 2	p. 353
Treatment of Type 2 Diabetes Mellitus with Oral Agents	p. 359
Lipid Abnormalities
Introduction	p. 369
Combination Drug Therapy in a Case of Severe Hypercholesterolemia	p. 371
A Young Man with Abdominal Pain and Very High Triglycerides: The Chylomicronemia Syndrome	p. 379
Roughly Equivalent Lipids in a Middle-Aged Obese Man at Risk for Coronary Disease	p. 387
Obesity and the Metabolic Syndrome
Introduction	p. 395
Metabolic Syndrome	p. 399
Polycystic Ovarian Syndrome	p. 407
Bariatric Surgery	p. 417
Puberty
Introduction	p. 427
Amenorrhea	p. 433
Early Puberty and Hyperthyroidism	p. 437
Hypothalamic Hamartoma	p. 445
Leydig Cell Adenoma	p. 453
Prolactinoma	p. 459
Turner Syndrome	p. 465
Instructive Rarities
Introduction	p. 473
Hypothalamic Damage and Obesity	p. 475
Systemic Mastocytosis	p. 483
Testosteronoma	p. 489
Index	p. 499
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