Endocrine Abstracts

Hyperthyroidism is common, affecting up to 3% of the population. The major causes in the UK are autoimmune (Graves’ hyperthyroidism) and toxic nodular goitre. Despite the prevalence of hyperthyroidism, there is relatively little agreement regarding the relative roles of the three principle treatment options – antithyroid drugs, radioiodine and surgery. The presentation will address these roles and specifically will address areas of controversy regarding treatment thr...

Background of NLC’s: The emergence of Nurse-led clinics (NLC) has given nurses a pathway for innovation and excellence towards providing safe, efficient, cost-effective and quality healthcare service.Reasons for setting up a Thyroid NLC in Oxford: Patients were waiting up to 3 months before seen by a consultant. Funding was available for a part-time endocrine nurse.Aims of the Thyroid NLC: To set up and provide a safe, efficie...

This 32 year old lady was referred in 2008 with Graves Disease. She presented with typical symptoms which included tiredness, shaking, palpitations, itching, eye redness, opthalmopathy, and exopthalmos. She had lost 3 stones over 3 months at Weight watchers. The GP had commenced carbimazole but she did not know the dose. In September 2008 results showed FT4 73.6, TT3 >12.5, TSH <0.05 and +TPO antibodies – >1300. This lady declined a referral to the ophthalmolo...

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