Hypertension in the Young Adult
Fig. 11.1 NHS National Statistics (2010) data showing the increasing incidence of hypertension with age (Reproduced with permission from National Statistics [3]. Copyright © 2011, Re-used with the permission of…
Graves’ Disease Associated with a Thyroid Nodule
What are the salient points to obtain from the history and examination? History What (if any) thyrotoxic symptoms are present? History and amount of weight loss. When was the lump…
Difficult-to-Treat Hyperthyroidism
Systems Symptoms of hyperthyroidism Skin Heat intolerance, hair loss, hyperhidrosis, urticaria, pruritis, eczema Cardiopulmonary Palpitation, exercise intolerance, dyspnoea on exertion, angina pectoris, orthopnoea, obstructive symptoms from enlarged thyroid (dysphagia or…
A Complicated Case of Thyroid Eye Disease
Fig. 5.1 Rundle’s curve depicting the clinical course of TED demonstrating disease activity (dotted line) and severity (solid line) against time (Reproduced from Perros et al. [1] © 2009 with…
Hypoglycaemia Case Study
Fig. 17.1 Cortisol day curve performed after first episode of severe hypoglycaemia Unfortunately, 6 months later she experienced a further episode of severe hypoglycaemia at work, involving a further blackout…
Prolactinoma Presenting with Galactorrhoea and Secondary Amenorrhoea: Diagnosis and Management
Herbs and natural agents Illicit drugs Prescription medications Anti-depressants and anti-psychotics Hormonal agents Others Anise Blessed thistle Fennel Fenugreek seeds Marshmallow Nettle Red Clover Red Raspberry Cannabis Cocaine Amphetamines Benzodiazepines…
Recent-Onset Visual Field Loss and Raised Prolactin Level (Non-functioning Pituitary Tumour)
Fig. 9.1 Goldman visual fields showing severe bitemporal hemianopia from chiasmal compression, worse on the right Visual field deficits relating to a prefixed chiasm are rare and would result in…
Spontaneous Hypoglycaemia
Autonomic Neuroglycopenic Sweating Dizziness Trembling Confusion Warmness Tiredness Anxiety Difficulty with speaking Hunger Headache Pounding heart Blurred vision Weakness Difficulty in concentrating The next group of questions relates to possible…
A Case of Severe Hyponatraemia
Days Na mmol/L Comments On admission <100 Day 1 106 Day 1 114 Day 1 119 Day 2 123 Confusion better Day 3 128 Day 4 129 Day 6 129…
Inability to Lose Weight
Fig. 22.1 The two most common surgical procedures. (a) Adjustable gastric banding. (b) Roux en Y gastric bypass Table 22.1 Comparison of the characteristics of the two most common surgical…
