By Terry F. Davies
During this thought-provoking publication, uncommon clinicians supply stimulating guide and insights right into a good selection of endocrine topics, instructing readers smooth administration of the stipulations defined and supplying precise access into the literature. The textual content displays a lot of the curriculum for scientific endocrine education advised through the organization of software administrators in medical Endocrinology. Concise instances are through a number of selection inquiries to improve studying.
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Extra resources for A Case-Based Guide to Clinical Endocrinology (Contemporary Endocrinology)
A. Clinically nonfunctioning tumors B. GH secreting adenomas C. Prolactinomas D. There is no clear preference for one tumor type Answer: D. Although individual case series have reported a predominance of certain tumor types, the findings are not consistent. When taken together, the case series reports do not reveal a clear predominance for one tumor type, but the three tumor types listed are significantly more common than corticotroph adenomas and TSH secreting adenomas. Chapter 2 When and How to Stop Cabergoline Treatment in Microprolactinomas Annamaria Colao Prolactinomas are the most frequent pituitary tumors with an estimated prevalence in the adult population of 100 per million population .
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. g. 5 mg of prednisone each morning) is given postoperatively until a cortisol value of 18 g/dL is documented, either on a morning sample or after ACTH (Cortrosyn) stimulation test. Since the ACTH stimulation test actually measures adrenal capacity for glucocorticoid release, an indirect measure of pituitary ACTH release, the test must be performed at least 6 weeks after the apoplexy event.
When an unequivocal pituitary adenoma (greater than 6 mm) is identified with MRI, further diagnostic evaluation may not be needed and referral to a pituitary neurosurgeon can be recommended. However, it should be remembered that 10% of the normal population has incidental tumors of the pituitary gland found on MRI, although the majority are less than 6 mm. Our patient had equivocal MRI findings, and because of the marked elevation of plasma ACTH, the diagnosis of an occult ectopic ACTH secreting neoplasm was considered.
A Case-Based Guide to Clinical Endocrinology (Contemporary Endocrinology) by Terry F. Davies