By Ramzi Ajjan, Stephen M. Orme
This e-book offers case reports followed through questions and commentaries for the professional registrar in diabetes and endocrinology, to aid with problem-based studying in the course of their education. The case experiences variety from the typical to the infrequent and intricate, providing a robust origin for the professional trainee to organize them for his or her qualifying assessments and, extra importantly, for his or her destiny medical consultations.
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Additional info for Endocrinology and Diabetes: Case Studies, Questions and Commentaries
3) or squint surgery can be performed to correct diplopia. Following decompression, and after discussion with the patient, it was decided to start oral steroids together with ciclosporin therapy. Is there any monitoring that needs to be undertaken in this patient? Ciclosporin has renal toxic effects and may also affect the liver. Therefore, close monitoring of U&Es (every 2 weeks initially and whenever the dose is increased) is essential with regular checks of LFT. Blood pressure should also be regularly monitored, as ciclosporin can cause raised blood pressure, which is of particular importance in or patient who has diabetes.
Indications for thyroidectomy in pregnancy include severe adverse reactions to antithyroid drugs, ongoing high doses of these medications, for example CBZ/MMI >30 mg per day or PTU >450 mg per day, or inability to control thyrotoxicosis due to compliance issues. If surgery is required, the optimum time is the second trimester. Radioiodine treatment is not used in pregnancy. M. M. Fairlie 20 thyroidectomy. Elevated levels may persist and these immunoglobulin G (IgG) antibodies freely cross the placenta and may render the fetus toxic.
7. Belfiore A, Garofalo MR, Giuffrida D, Runello F, Filetti S, Fiumara A, et al. Increased aggressiveness of thyroid cancer in patients with Graves’ disease. J Clin Endocrinol Metab. 1990;70(4):830–5. 8. Pellegriti G, Belfiore A, Giuffrida D, Lupo L, Vigneri R. Outcome of differentiated thyroid cancer in Graves’ patients. J Clin Endocrinol Metab. 1998;83(8):2805–9. 9. Braga-Basaria M, Basaria S. Marine-Lenhart syndrome. Thyroid. 2003;13(10):991. 10. Gharib H, Papini E, Paschke R, Duick DS, Valcavi R, Hegedus L, et al.
Endocrinology and Diabetes: Case Studies, Questions and Commentaries by Ramzi Ajjan, Stephen M. Orme