Therapy with Insulin

Mar 10, 2017 by in ENDOCRINOLOGY Comments Off on Therapy with Insulin

  Dose (U/kg/day) Honey-moon period <0.5 At diagnosis or after Ketoacidosis 0.5–1.0 Prepubertal 0.7–1.0 Pubertal 1.0–2.0 Sick days 1.2–1.5 Basal insulin 40–60 % Usually, in the first 6 months of…

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Oral Therapies for Type 2 Diabetes

Mar 10, 2017 by in ENDOCRINOLOGY Comments Off on Oral Therapies for Type 2 Diabetes

Drug Daily dose Reduction in HbA1c Side effects Contraindications Metformin (500, 850, 1,000 mg. Extended-release: 500/750 mg, 1,000 mg) Initial small dose and titrate. Max 2,550 mg/day 1–2 % Nausea,…

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Endocrine Hypertension

Mar 10, 2017 by in ENDOCRINOLOGY Comments Off on Endocrine Hypertension

Fig. 12.1 The main components of the Renin-Angiotensin-Aldosterone System (RASS) and its physiological role in the regulatory control of blood pressure, inflammation and cardiovascular function. ACE angiotensin converting enzyme, NEP…

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Osteoporosis in Men

Mar 10, 2017 by in ENDOCRINOLOGY Comments Off on Osteoporosis in Men

Francisco Bandeira, Hossein Gharib, Airton Golbert, Luiz Griz and Manuel Faria (eds.)Endocrinology and Diabetes2014A Problem-Oriented Approach10.1007/978-1-4614-8684-8_25 © Springer Science+Business Media New York 2014 25. Osteoporosis in Men Aline G. Costa1  , Natalie E. Cusano1  , Barbara C. Silva1   and John P. Bilezikian1   (1) Metabolic Bone Diseases Unit, Division…

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Hyperprolactinemia

Mar 10, 2017 by in ENDOCRINOLOGY Comments Off on Hyperprolactinemia

Fig. 6.1 Diagnosis of hyperprolactinemia algorithm Fig. 6.2 (a) Before treatment. Sellar T1-weighted MRI after gadolinium enhancement, coronal (left) and sagittal (right) depicted a sellar mass impinging optic chiasma. (b)…

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Hypocalcemia

Mar 10, 2017 by in ENDOCRINOLOGY Comments Off on Hypocalcemia

Symptoms Circumoral and acral tingling paresthesias Increased neuromuscular irritability Tetany Muscle cramps and twitching Abdominal cramps Laryngospasm Bronchospasm Altered CNS function Seizures of all types Papilledema or pseudotumor cerebri Choreoathetoid…

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Non-parathyroid Hypercalcemia

Mar 10, 2017 by in ENDOCRINOLOGY Comments Off on Non-parathyroid Hypercalcemia

Bone resorption Calcium absorption Decrease in the excretion of calcium pHPTH Malignancy Thyrotoxicosis Immobilization Milk alkali syndrome Hypervitaminosis D Granulomatous disease Chronic kidney disease Rhabdomyolysis and acute renal failure Thiazide…

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Male Hypogonadism

Mar 10, 2017 by in ENDOCRINOLOGY Comments Off on Male Hypogonadism

Primary hypogonadism Congenital 1. Chromosomal disorders (a) Klinefelter syndrome and related syndromes (such as Male 46 XX) (b) Defects enzyme in the biosynthesis of testosterone (c) Myotonic dystrophy 2. Developmental…

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Menopause

Mar 10, 2017 by in ENDOCRINOLOGY Comments Off on Menopause

Symptoms Prevalence Hot flashes 80–90 % Sleep disturbance 38–46 % Depression 50 % Dementia Uncertain Vaginal dryness 21–47 % Cognitive changes Uncertain Joint pain Uncertain Skin changes Uncertain Breast pain…

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