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  1. Article ; Online: Parathyroid carcinoma presenting as severe hypercalcaemia responding to steroids.

    Mathew, Susan Vincy / Ellis, Tracey / Jude, Edward B

    BMJ case reports

    2023  Volume 16, Issue 5

    Abstract: A man in his 50s was referred with profound, symptomatic hypercalcaemia. He was diagnosed with primary hyperparathyroidism, confirmed ... ...

    Abstract A man in his 50s was referred with profound, symptomatic hypercalcaemia. He was diagnosed with primary hyperparathyroidism, confirmed on
    MeSH term(s) Male ; Humans ; Parathyroid Neoplasms/complications ; Parathyroid Neoplasms/diagnosis ; Parathyroid Neoplasms/surgery ; Hypercalcemia/drug therapy ; Hypercalcemia/etiology ; Calcium ; Hyperparathyroidism, Primary/complications ; Hyperparathyroidism, Primary/diagnosis ; Hyperparathyroidism, Primary/surgery ; Pandemics ; COVID-19/complications ; Parathyroidectomy ; Steroids ; Parathyroid Hormone
    Chemical Substances Calcium (SY7Q814VUP) ; Steroids ; Parathyroid Hormone
    Language English
    Publishing date 2023-05-02
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-252120
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Euvolaemic hyponatraemia as a rare first presentation of chronic hypopituitarism.

    Coe, Calvin / Mathew, Susan Vincy / Jude, Edward B

    BMJ case reports

    2023  Volume 16, Issue 6

    Abstract: A man in his late 40s with no significant medical history presented with 2 weeks of lethargy, nausea and dizziness, alongside worsening headaches. Initial assessment revealed severe hyponatraemia and secondary hypothyroidism; urgent MRI pituitary was ... ...

    Abstract A man in his late 40s with no significant medical history presented with 2 weeks of lethargy, nausea and dizziness, alongside worsening headaches. Initial assessment revealed severe hyponatraemia and secondary hypothyroidism; urgent MRI pituitary was requested with a clinical suspicion of pituitary apoplexy. This demonstrated a likely cystic pituitary adenoma, with further testing revealing pituitary gland suppression, leading to a diagnosis of chronic secondary hypopituitarism. Initiating hormone replacement allowed substantial reported improvements in this patient's quality of life.A review of the patient's work-up revealed areas in which best practice was not followed. Cortisol measurements and paired urinary and serum osmolalities were initially not sent, nor results appropriately chased. A subsequent literature review identified that conformation with national and local guidelines on hyponatraemia management is poor. This patient's case, when combined with the literature review, provides evidence to support methods to increase educational awareness of an appropriate work-up of hyponatraemia among clinicians.
    MeSH term(s) Male ; Humans ; Hyponatremia/etiology ; Hyponatremia/complications ; Quality of Life ; Hypopituitarism/complications ; Hypopituitarism/diagnosis ; Pituitary Neoplasms/complications ; Pituitary Neoplasms/diagnosis ; Pituitary Gland/diagnostic imaging
    Language English
    Publishing date 2023-06-19
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-254469
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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