Endocrinology
- Porcelain heart in a uremic patient
Constrictive pericarditis due to secondary hyperparathyroidism occurs in up to 4% of patients with end-stage renal disease.
- Iodine deficiency: Clinical implications
Requirements are higher in pregnant and lactating women. Risk is higher in vegans and those who are lactose-intolerant.
- Confusion and hypercalcemia in an 80-year-old man
His total serum calcium level is 14.4 mg/dL. What is the cause?
- Hypoglycemia after gastric bypass: An emerging complication
Post-gastric bypass hypoglycemia arises late and is probably more common than initially thought.
- ERAAs for menopause treatment: Welcome the ‘designer estrogens’
These drugs stimulate estrogen receptors in some tissues and inhibit them in others, enabling tailored treatment.
- Heartburn or heart attack? A mimic of MI
The diagnosis: milk-alkali syndrome, complicated by thiazide use.
- Big heart, small ring
A 58-year-old man has stopped wearing his wedding ring, and his wife suspects him of having an extramarital affair.
- Trust the thyroid thermostat
Why do some physicians persist in regularly following the T3 and T4 levels in addition to the TSH?
- Is a serum TSH measurement sufficient to monitor the treatment of primary hypothyroidism?
Yes, the TSH level provides the information you need to manage primary hypothyroidism.
- Is there a time limit for systemic menopausal hormone therapy?
The duration needs to be an individualized, shared decision that is reassessed annually.