Central Mineralocorticoid Receptors and Cardiovascular Disease

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Central Mineralocorticoid Receptors and Cardiovascular Disease

Fig. 14.1 Brain areas crucial to mineralocorticoid-salt and renovascular hypertension History A century after Addison described patients with adrenal cortical destruction as having “asthenic” hearts, deoxycorticosterone, DOC, the first mineralocorticoid…

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Congenital Adrenal Hyperplasia

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Congenital Adrenal Hyperplasia

Fig. 5.1 Pathway of adrenal steroid biosynthesis. The enzymes responsible for each biosynthetic step are above or adjacent to arrows. Each box represents a respective zone of the adrenal cortex….

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Metabolic Syndrome Case

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Metabolic Syndrome Case

In order to determine the appropriate risk of metabolic syndrome, we should use Risk-Adjusted BMI, which takes the degree of central obesity into account. Waist measure or waist to hip…

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Bariatric Surgery

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Bariatric Surgery

Fig. 52.1 Roux-en-Y gastric bypass (RYGB) surgery. Diagram courtesy of Dr. Daniel Herron Optimizing Glycemic Control Prior to Surgery An appropriate preoperative screening includes prior history of failure to lose…

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Severe Hypertriglyceridemia

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Severe Hypertriglyceridemia

and Sergio Fazio2 (1) Assistant Professor of Pediatrics, Division of Pediatric Endocrinology, University of Mississippi School of Medicine, 2500 North State Street, Jackson, MS 39216, USA (2) William and Sonja Connor Chair…

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Klinefelter Syndrome

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Klinefelter Syndrome

Congenital Acquired Klinefelter syndrome Trauma Cryptorchidism Orchitis Immune polyglandular failure Spinal cord injury Congenital anorchia Medications: ketoconazole, cancer chemotherapy Noonan’s syndrome X-irradiation Lawrence–Moon–Bardet–Biedl syndrome Retroperitoneal fibrosis Myotonic dystrophy Amyloidosis Sickle…

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Metastatic Papillary Thyroid Cancer

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Metastatic Papillary Thyroid Cancer

Fig. 17.1 An unsuspected paraspinal mass in a patient with a history of toxic multinodular goiter and progressive low back pain. A paraspinal mass is shown at L3, with complete…

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Low Testosterone and the Metabolic Syndrome

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Low Testosterone and the Metabolic Syndrome

Ref Testosterone, ng/dL (nmol/L) SHBG (nmol/L) LH (mIU/mL) Estradiol, pg/mL (pmol/L) Baseline Post Baseline Post Baseline Post Baseline Post 1 13.4 ± 1.8 +58 %*   4.9 ± 0.8 +8 %   2 340 ± 21 +100 %*    …

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The Polycystic Ovarian Syndrome (PCOS)

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on The Polycystic Ovarian Syndrome (PCOS)

Fig. 51.1 (a–c) Note the sensitivity to insulin in lean subjects with PCOS is similar to that of normal obese control. It is apparent that the extreme lowest insulin sensitivity…

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