ENDOCRINOLOGY

Adrenal Venous Sampling

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Adrenal Venous Sampling

  Cortisol Aldosterone A/C A/C dominant A/C non-dominant A/C non dominant A/C AVC Right AV      Left AV      Low IVC      References 1. Funder JW, Carey RM, Fardella C, et al. Case detection,…

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Metyrapone Stimulation Test

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Metyrapone Stimulation Test

Assay for Cortisol and ACTH: Chemiluminescence Assay (CLIA) . Assay for 11 DOC: LC-MS/MS. Precautions: Hypotension , nausea, vomiting, abdominal discomfort or cramping, and musculoskeletal pain in patients with adrenal…

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Glucagon Stimulation

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Glucagon Stimulation

Glucagon stim test Time C-peptide Basal (0 min)   5 min   10 min   References 1. Maldonado M, Hampe CS, Gaur LK, et al. Ketosis-prone diabetes: dissection of a heterogeneous syndrome using an immunogenetic and β-cell…

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Insulinomas

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Insulinomas

Adrenergic symptoms Palpitations (5 %) Diaphoresis (30 %) Anxiety (12 %) Tremors (12 %) Hyperphagia/obesity (44 %) Neuroglycopenic symptoms Visual changes/diplopia (42 %) Confusion/altered mental status (67 %) Amnesia (8…

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Endocrine Neoplasia Type 1

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Endocrine Neoplasia Type 1

Pathology Penetrance Endocrine Parathyroid > 95 % Enteropancreatic Gastrinoma 30–40 % Insulinoma 10 % Functional 2 % Nonfunctional 20 % Pituitary Prolactinoma 20 % Other functional 10 % Nonfunctional 5…

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W. Thompson

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on W. Thompson

Dr. Norman W. Thompson in one of his frequent teaching moments Dr. Norman W. Thompson (NWT) is one of the most beloved figures in endocrine surgery . His examples of…

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Endocrine Neoplasia 2 Syndromes

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Endocrine Neoplasia 2 Syndromes

Typical manifestations MEN 2 subtypes MEN 2A (%) MEN 2B (%) FMTC (%) Medullary thyroid cancer 100 100 95–100 Pheochromocytoma 50 50 – Primary hyperparathyroidism 15–30 – – Gangliotomosis of…

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