ENDOCRINOLOGY

Syndromes of Mineralocorticoid Excess

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Syndromes of Mineralocorticoid Excess

Common conditions with low renin concentrations Mineralocorticoid excess  Primary aldosteronism (see Chap. 1)  Cushing’s Syndrome (see Chap. 3)  Glucocorticoid/cortisol resistance (see Chap. 4)  Apparent mineralocorticoid excess syndrome  Licorice or carbenoxolone…

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Hypertension, Vitamin D Deficiency, and Calcium Metabolism

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Hypertension, Vitamin D Deficiency, and Calcium Metabolism

Gastrointestinal factors: Insufficient oral intake Malabsorption resulting from chronic pancreatitis, inflammatory bowel disease, celiac disease, cystic fibrosis, Whipple’s disease, radiation enteritis, bariatric surgery Metabolic factors: Chronic renal insufficiency (from decreased…

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Primary Hyperparathyroidism and Hypertension

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Primary Hyperparathyroidism and Hypertension

Measurement Surgery recommended in all who meet the following guideline Age <50 years old Bone mineral density T-score <−2.5 at any site and/or prior fragility fracture Creatinine clearance (calculated) <60…

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Insulin Resistance and Hypertension

Sep 18, 2016 by in ENDOCRINOLOGY Comments Off on Insulin Resistance and Hypertension

2. Caumo A, Bergman RN, Cobelli C. Insulin sensitivity from meal tolerance tests in normal subjects: a minimal model index. J Clin Endocrinol Metab. 2000;85(11):4396–402.PubMedCrossRef 3. Pillonetto G, Caumo A,…

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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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