Endocrinology
- An obese 48-year-old man with progressive fatigue and decreased libido
Men with hypogonadism usually present with nonspecifi c symptoms.
- Metformin for type 2 diabetes January 2019
Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).
- A paraneoplastic potassium and acid-base disturbance
A 55-year-old smoker with COPD presents with malaise, paresthesias, and severe hypertension. What is the cause?
- Subclinical hypothyroidism: When to treat
The decision remains controversial and depends on the degree of TSH elevation, thyroid antibodies, and comorbidities.
- There is more to the TSH than a number
Management of subclinical hypothyroidism should be nuanced and based on clinical and laboratory parameters.
- Should metformin be used in every patient with type 2 diabetes?
Most patients should receive it, with exceptions. Nevertheless, it is underused.
- Bisphosphonate-related atypical femoral fracture: Managing a rare but serious complication
Concern about this rare complication has led to a decrease in bisphosphonate use.
- Postsurgical hypoparathyroidism is not primary hypoparathyroidism (March 2018)
Readers comment on hypertrophic cardiomyopathy (May 2018) and on hypoparathyroidism (March 2018).