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Acute Endocrinology: From Cause to Consequence - download pdf or read online

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

The integration of endocrinology in serious care drugs has ended in new experimental and medical info at the advanced endocrine and metabolic derangements accompanying non-endocrine critical health problems. The becoming a member of of those disciplines has generated very important novel insights with major medical implications. Acute Endocrinology: From reason to end result compiles those new findings into a major and hugely correct new source. half one offers with the classical life-threatening health problems brought on by fundamental endocrine illnesses akin to thyrotoxicosis, hypothyroidism, acute adrenal predicament, acute calcium issues, pheochromocytoma, serious hyper- and hypoglycemia. half appears to be like at endocrinology from the ICU aspect, beginning with a basic evaluate of the dynamic neuroendocrine and metabolic pressure responses within the situation of extensive care-dependent, non-endocrine severe disease. Acute Endocrinology: From reason to end result presents a distinct and up to date evaluate of the becoming a member of of those disciplines and seeks to stimulate additional interdisciplinary study during this very important and intriguing field.

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Brucker-Davis F, Skarulis MC, Grace MB, et al. Genetic and Clinical Features of 42 kindreds with resistance to thyroid hormone. The National Institutes of Health Prospective Study. Annals of Int Med 1995; 123:572–583. 51. Olattegu T, Vanderpump M. Thyroid Hormone resistance. Ann Clin Biochem 2006; 43: 431–440. 52. Bogazzi F, Bartelena L, Scarcello G, et al. The age of patients with thyrotoxicosis factitia in Italy from 1973 to 1996. J Endocrinol Invest 1999; 22(2):128–133. 53. Daniels GH. Hyperthyroidism: multiple possibilities in the female patient.

17. Pearce EN, Marino E, Bogazzi F, et al. The prevalence of elevated serum C-reactive protein levels in inflammatory and noninflammatory thyroid disease. Thyroid 2003; 13(7):643–648. 18. Farwell AP, Braverman LE. Inflammatory thyroid disorders. Otolaryngol Clin North Am 1999; 4:541–556. 19. Kitchener MI, Chapman IM. Subacute thyroiditis: a review of 105 cases. Clin Nucl Med 1989; 14:439–442. 26 Part I / Potentially Life-Threatening Emergencies 20. Woolf PD. Transient painless thyroiditis with hyperthyroidism: a variant of lymphocytic thyroiditis?

One series from a hospital survey in Germany (15) reported 24 patients (20 women, 4 men; mean age 73 years) with myxedema coma (although the authors reclassified 12 patients as having severe hypothyroidism but not coma) with the following clinical profile: 23 patients had underlying hypothyroidism, 9 of whom had previously diagnosed disease and 1 patient had central hypothyroidism. Findings on presentation included hypoxemia in 80%, hypercapnia in 54%, and hypothermia with a temperature <94◦ F in 88%.

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