By J. Larry Jameson
Endocrinology--with the entire authority of HARRISON'S A Doody's center name for 2011! four celebrity DOODY'S evaluation! "It is meant for college students, citizens, and fellows drawn to endocrinology. It additionally serves as a superb reference resource or evaluation booklet for normal internists. every one bankruptcy is written through authors famous as specialists within the field....This well-written, effortless to learn e-book offers an intensive baseline figuring out of the foremost matters in endocrinology. it may be used either for assessment and for fast reference for a selected subject. as a result non-stop advances in our figuring out of endocrine ailments and coverings, the second one variation is an important update."--Doody's evaluate carrier that includes the chapters on endocrinology that seem in Harrison's ideas of inner medication, 17e, this compact scientific spouse can provide the most recent wisdom within the box, subsidized through the medical rigor and reliability that experience outlined Harrison's. within you will discover assurance that displays the services of well known editors and contributors--presented in a carry-anywhere layout that makes it perfect for the study room, the wards, or exam/certification guidance. good points: present, thorough assurance of need-to-know endocrinology issues, together with pituitary, thyroid, and adrenal problems; reproductive endocrinology; diabetes mellitus, weight problems, and lipoprotein metabolism; issues affecting a number of endocrine platforms, and issues of bone and calcium metabolism Integration of pathophysiology with scientific administration issues in all the disease-oriented subject matters invaluable appendix of laboratory values of scientific significance 88 high-yield questions and solutions drawn from Harrison's rules of inner drugs Self-Assessment and Board evaluation, 17e content material updates, new advancements, and reference updates because the e-book of Harrison's ideas of inner drugs, 17e 29 chapters written via physicians who've made seminal contributions to the physique of data of their components of workmanship The Harrison's strong point sequence is written by means of the world-renowned writer workforce who introduced you Harrison's rules of inner drugs, 17e: Anthony S. Fauci, MD Eugene Braunwald, MD Dennis L. Kasper, MD Stephen L. Hauser, MD Dan L. Longo, MD J. Larry Jameson, MD, PhD Joseph Loscalzo, MD, PhD
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Additional info for Harrison's Endocrinology, 2nd Edition
In addition to correction of hormonal hypersecretion, pituitary surgery is indicated for mass lesions that impinge on surrounding structures. Surgical decompression and resection are required for an expanding pituitary mass accompanied by persistent headache, progressive visual ﬁeld defects, cranial nerve palsies, internal hydrocephalus, and, occasionally, intrapituitary hemorrhage and apoplexy. Transsphenoidal surgery is FIGURE 2-5 Transsphenoidal resection of pituitary mass via the endonasal approach.
M. cortisol levels, and thyroid function tests usually identify patients with pituitary hormone deﬁciencies that require hormone replacement before further testing or surgery. M. M. ACTH assay Ensure urine collection is total and accurate Normal subjects suppress to <5 µg/dL Note: For abbreviations, see text. Distinguishes adrenal adenoma (ACTH suppressed) from ectopic ACTH or Cushing’s disease (ACTH normal or elevated) Disorders of the Anterior Pituitary and Hypothalamus FIGURE 2-4 Pituitary adenoma.
Lifelong follow-up with testing of anterior pituitary hormone reserve is therefore necessary after radiation treatment. Optic nerve damage with impaired vision due to optic neuritis is reported in about 2% of patients who undergo pituitary irradiation. Cranial nerve damage is uncommon now that radiation doses are ≤2 Gy (200 rad) at any one treatment session Side Effects Medical therapy for pituitary tumors is highly speciﬁc and depends on tumor type. For prolactinomas, dopamine agonists are the treatment of choice.
Harrison's Endocrinology, 2nd Edition by J. Larry Jameson