By Anil Bhansali, Yashpal Gogate
This e-book covers fascinating and but frequently not easy instances between grownup sufferers in a special Question-Answer layout. Simulating the bed-side case discussions throughout the ward rounds, one query logically ends up in one other query thereby producing interest and selling evidence-based medication. Taking the readers throughout the whole spectrum ranging from etiology and pathophysiology to scientific presentation to administration ideas, every one query addresses one key element of the disease. defined in a very easy and lucid narrative, this booklet guarantees sound conceptual knowing whereas protecting each one subject comprehensively. This quantity covers very important issues akin to acromegaly, Cushing syndrome, osteoporosis, hypercalcemia, pheochromocytoma, hyperaldosteronism, thyroid issues and diabetes in grownup sufferers. those circumstances aren't simply obvious by means of endocrinologists, yet also are controlled via internists, orthopedic surgeons, obstetricians and gynecologists. much less universal problems resembling adrenal problems and androgen extra have additionally been coated.
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Extra info for Clinical Rounds in Endocrinology: Volume I - Adult Endocrinology
However, acromegaly may be associated with proximal myopathy due to atrophy of type 2 muscle fibers with relative hypertrophy of type 1 fibers. In addition, hyperphosphatemia may also contribute to muscle weakness. Patients with acromegaly who have myelo-radiculopathy may also manifest proximal muscle weakness. 44. What are the causes of anemia in acromegaly? GH plays a permissive role in erythropoiesis. Therefore, anemia in a patient with acromegaly is unusual and requires evaluation. The causes of anemia in acromegaly are gastrointestinal bleed due to adenomatous polyp, colonic carcinoma, acid peptic disease (MEN1, Zollinger–Ellison syndrome), and malabsorption due to megacolon and bacterial stasis (blind-loop syndrome).
18th ed. New York: McGraw Hill Professional; 2012. 4. Melmed S, Polonsky KS, Larsen PR, Kronenberg HM. Williams textbook of endocrinology: expert consult. London: Elsevier Health Sciences; 2011. 1 Clinical Rounds 1. A 42-year-old male presented with chronic and persistent headache. On examination, he was found to have acral enlargement with increased sweating. What to do next? The best screening test for the diagnosis of acromegaly is serum insulin like growth factor 1 (IGF1), with a sensitivity of 97% and specificity of 90%.
Melmed S, Polonsky KS, Larsen PR, Kronenberg HM. Williams textbook of endocrinology: expert consult. London: Elsevier Health Sciences; 2011. 1 Case Vignette A 28-year-old male presented with sudden onset of severe headache associated with projectile vomiting and dizziness for the last 7 days. There was no history of fever, altered sensorium, seizures, CSF rhinorrhea, or epistaxis. He had history of dull aching headache, visual deficits, and poor beard growth for the last 2 years. He did not have history of decreased libido or erectile dysfunction.
Clinical Rounds in Endocrinology: Volume I - Adult Endocrinology by Anil Bhansali, Yashpal Gogate