Endocrinology
Diabetic retinopathy: Screening, prevention, and treatmentEffective screening processes, timely referrals, and strategic diabetes management are essential to prevent and mitigate the consequences of diabetic retinopathy.
- A hidden cause of hypokalemia
A 21-year-old man presented with increasing fatigue and psychosis symptoms. Laboratory testing results were consistent with a metabolic disorder.
Diabetes technology: A primer for cliniciansThis review of the basics of various diabetes management devices is intended to enhance clinicians’ comfort level in helping patients use these technologies.
- Should I refer my patient for a parathyroidectomy?
In patients with primary hyperparathyroidism, this decision should be individualized and not based solely on whether guideline criteria are met.
- Corticosteroids: Giving and taking away
Two articles this month highlight opposite ends of the treatment spectrum, one on introducing adjunctive corticosteroids when treating Pneumocystis pneumonia, and the other on syndromes associated with glucocorticoid withdrawal.
Glucocorticoid-induced adrenal insufficiency and glucocorticoid withdrawal syndrome: Two sides of the same coinThis review highlights the differences between primary adrenal insufficiency, secondary adrenal insufficiency, including glucocorticoid-induced adrenal insufficiency, and glucocorticoid withdrawal syndrome.
- Multiple metabolic renal manifestations of a systemic disease
A 39-year-old woman who presented with 5 days of generalized weakness and right-upper-quadrant abdominal pain was found to have an acid-base disorder, prompting evaluation for the underlying cause.
- Hypertension and severe hyperreninemia in a young man
A 29-year-old man with blood pressure measurements of 152/118 mm Hg and 156/116 mm Hg at 2 separate clinic visits is started on combination antihypertensive therapy and undergoes evaluation for secondary causes of hypertension.