Read e-book online Acute Endocrinology: From Cause to Consequence PDF

By Greet Van den Berghe MD, PhD (auth.)

ISBN-10: 1603271767

ISBN-13: 9781603271769

ISBN-10: 1603271775

ISBN-13: 9781603271776

The integration of endocrinology in serious care drugs has resulted in new experimental and scientific info at the complicated endocrine and metabolic derangements accompanying non-endocrine serious health problems. The becoming a member of of those disciplines has generated vital novel insights with major medical implications. Acute Endocrinology: From reason to end result compiles those new findings into an immense and hugely proper new source. half one offers with the classical life-threatening health problems as a result of basic endocrine ailments comparable to thyrotoxicosis, hypothyroidism, acute adrenal problem, acute calcium issues, pheochromocytoma, critical hyper- and hypoglycemia. half appears to be like at endocrinology from the ICU part, beginning with a basic review of the dynamic neuroendocrine and metabolic tension responses within the of in depth care-dependent, non-endocrine serious disorder. Acute Endocrinology: From reason to end result offers a distinct and up to date assessment of the becoming a member of of those disciplines and seeks to stimulate extra interdisciplinary study during this very important and interesting field.

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Example text

4◦ C (94◦ F) and should therefore not be used in this setting given the likelihood of inaccurate results. When hypothermia is suspected, low-reading rectal thermometers or rectal thermistor probes should be used (33). The clinical presentation in many patients may be sufficiently clear to make measurements of thyroid function tests necessary only for confirmation of the diagnosis. Given a reasonable index of suspicion, empiric thyroid hormone replacement should be immediately initiated while awaiting the results of these tests, including serum TSH and free thyroxine (free T4), which should only take several hours in most centers.

Treatment of Thyrotoxicosis. J Nucl Med 2007; 48:379–389. 2 Myxedema Coma Suzanne Myers Adler, MD and Leonard Wartofsky, MD CONTENTS I NTRODUCTION E PIDEMIOLOGY C LINICAL P RESENTATION D IAGNOSIS TREATMENT S UMMARY R EFERENCES INTRODUCTION Myxedema coma is the most severe form of hypothyroidism and, although rare today, still carries a high mortality rate without prompt diagnosis and aggressive treatment. Myxedema coma continues to be a medical emergency that presents with deteriorating mental status, hypothermia, and multiple organ system abnormalities.

45. Brucker-Davis F, Oldfield EH, Skarulis MC, et al. Thyrotropin-Secreting Pituitary Tumors: Diagnostic Criteria, Thyroid Hormone Sensitivity, and Treatment Outcome in 25 Patients Followed at the National Institutes of Health. J Clin Endocrinol Metab 1999; 84(2): 476–486. 46. Beck-Peccoz P, Persani L. Medical Management of Thyrotropin-Secreting Pituitary Adenomas. Pituitary 2002; 5:83–88. 47. Beck-Peccoz P, Piscitelli G, Amr S, et al. Endocrine, biochemical, and morphological studies of a pituitary adenoma secreting growth hormone, thyrotropin (TSH), and alpha-subunit: evidence for secretion of TSH with increased bioactivity.

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Acute Endocrinology: From Cause to Consequence by Greet Van den Berghe MD, PhD (auth.)


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