Download e-book for kindle: A Case-Based Guide to Clinical Endocrinology by Terry F. Davies
By Terry F. Davies
In A Case-Based Guide to Clinical Endocrinology, Second variation, a popular team of extraordinary clinicians once back offers stimulating instruction and insights into a wide selection of endocrine topics, teaching readers modern administration of the stipulations defined and offering precise access into the literature. Importantly, the various vital components within the present curriculum for scientific endocrine education as urged via the organization of software administrators in medical Endocrinology, Diabetes and Metabolism are lined during this textual content. completely up-to-date, this re-creation not just covers new remedy techniques but in addition emphasizes the newest investigative advances in either imaging and molecular diagnostics. to enhance studying and retention of data, a question-based process is utilized in the various case stories. scholars, citizens, fellows, and practitioners will locate this connection with be an effective approach to overview their understanding and elevate their skills and abilities in sufferer research and administration. a useful contribution to the sphere, A Case-Based Guide to Clinical Endocrinology, Second Edition, bargains an identical comprehensive volume of thought-provoking case-studies that made the 1st version of vital value to all clinicians who deal with sufferers with endocrine disorders.
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Extra resources for A Case-Based Guide to Clinical Endocrinology
Fleseriu M, Biller BM, Findling JW, Molitch ME, Schteingart DE, Gross C. Mifepristone, a glucocorticoid receptor antagonist, produces clinical and metabolic benefits in patients with Cushing’s syndrome. J Clin Endocrinol Metab. 2012;97:2039–49. 7. Fleseriu M, Petersenn S. Medical management of Cushing’s disease: what is the future? Pituitary. 2012;15:330–41. 8. Katznelson L, Atkinson JL, Cook DM, Ezzat SZ, Hamrahian AH, Miller KK. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of acromegaly–2011 update.
The most common cause, by far, is the use of exogenous steroids for the treatment of an underlying disease. When this and factious hypercortisolism are excluded, other sources of pseudo-Cushing’s need evaluation including anorexia, malnutrition, poorly controlled diabetes mellitus (DM), and glucocorticoid resistance. Once these are eliminated other endogenous etiologies should be evaluated and are generally divided into ACTH-dependent and ACTHindependent causes. ACTH-dependent cases account for approximately 80 % of all cases: 80 % of these are the result of a corticotroph producing pituitary adenoma and represent CD, while roughly 20 % are due to ectopic ACTH production.
1 T1-weighted coronal and sagittal MR images show diffusive enlargement and enhancement of the pituitary gland. The gland pyramidal in shape extending to hypophyseal stalk from the sellar base. Images also note the presence of enhanced mucosa in the bilateral sphenoid sinus and enhanced meninges around the sella.
A Case-Based Guide to Clinical Endocrinology by Terry F. Davies