By Steven Jon Russell, Karen Klahr Miller (auth.), Terry F. Davies (eds.)
Written instances supply a considerate overview of recent administration and contemplation of the literature, even more so than even a case presentation with no the sufferer. for this reason, in recent times the written or ready case has develop into the fitting discussion board for demonstrating the way to deal with a clinical challenge to the best good thing about the sufferer. In A Case-Based advisor to scientific Endocrinology, individual clinicians supply stimulating guideline and insights right into a wide selection of endocrine topics, educating readers sleek administration of the stipulations defined and delivering detailed access into the literature. Importantly, a number of the very important parts within the present curriculum for scientific endocrine education as instructed via the organization of software administrators in medical Endocrinology, Diabetes and Metabolism are lined during this textual content. to augment studying and retention of information, every 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 a good approach to evaluate their figuring out and elevate their abilities and talents in sufferer research and administration.
In all, A Case-Based advisor to scientific Endocrinology deals a finished quantity of concise case-studies that might end up to be of important significance to all clinicians training during this box.
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Extra resources for A Case-Based Guide to Clinical Endocrinology
22 A. Colao Mean PRL levels (µg/liter) 120 1 ° p r e g n an c y 100 80 cabergoline treatment 60 cabergoline treatment withdrawal 40 20 0 baseline 6 12 18 24 1 2 3 6 12 18 24 4 12 months Fig. 1 kg). The patient was allowed to breast-feed her baby for 3 months. Subsequently, a reevaluation of mean PRL levels and sellar MRI were performed. Mean serum PRL levels was normal and a partial empty sella in the left paramedian portion of the gland was documented on MRI. Menses reappeared in February 2003.
2). 5 mg twice weekly. 6 g/L, and we decided to continue cabergoline treatment at the same dosage. 2 g/L and the microadenoma was no longer visible on MRI (Fig. 2). In accord with our protocol , we decided to continue cabergoline treatment at a reduced dose to verify the possibility of subsequently withdrawing the patient from treatment. 2 g/L in a single dose). Since no microadenoma was documented on MRI performed in October 1999, treatment with cabergoline was stopped. Cabergoline withdrawal was followed by a slight increase of PRL levels that remained in the normal range until the follow-up of January 2002.
A complete evaluation of anterior pituitary hormone function should be performed approximately 6 weeks after surgical decompression of the sella. In this case, apoplexy was complicated by permanent panhypopituitarism, requiring comprehensive replacement of pituitary hormones. 1 Pituitary Apoplexy 15 It is useful to approach the management of hypopituitarism in a staged fashion. The first priority is the replacement of glucocorticoid, if necessary. Because profound adrenal insufficiency is incompatible with life, under conditions of severe physical stress patients are assumed to have adrenal insufficiency until proven otherwise.
A Case-Based Guide to Clinical Endocrinology by Steven Jon Russell, Karen Klahr Miller (auth.), Terry F. Davies (eds.)