Endocrine Abstracts

The care of the patient undergoing pituitary surgery is complex and requires detailed knowledge of the underlying diagnosis of the patient. Although the care of the patient is similar with each type of hormonally active tumour, specific knowledge is paramount for a successful post-operative outcome. In this presentation, the medical and surgical management of common pituitary tumours will be discussed. Patients with Cushing’s disease and acromegaly will be highlighted. Th...

Due to the pulsatile characteristic of pituitary hormone secretion, its involvement in the acute response to stress and feed-back mechanisms with hormones of peripheral glands, baseline circulating levels of many pituitary hormones may significantly overlap between normal subjects and patients with pituitary disease. Therefore pituitary testing has been widely used for the diagnosis and follow-up of pituitary disease.For example, provocative tests are fr...

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GH deficiency in adults is associated with physical, psychological and quality of life impairment. A vast range of treatment options is available for GH and with the right device and adequate education and monitoring, patients report a significant improvement in their quality of life. A holistic approach should be adopted when deciding on a treatment regime for GH, which takes into consideration the patient’s physical/cognitive ability and their social environment. The En...

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Congenital adrenal hyperplasia (CAH) describes a group of autosomal recessive disorders characterized by impaired cortisol biosynthesis. The most common form of CAH is due to 21-hydroxylase deficiency and there is a wide range of phenotypes. The challenge in management of CAH in childhood is promotion of normal growth and development. The morbidities associated with currently available therapeutic regimens are related to glucocorticoid and/or androgen excess, intertwined with ...

CAH is the commonest inborn endocrine disorder and associated with significant morbidity. The health status of CAH adult patients has recently been reported by the UK Congenital adrenal Hyperplasia Adult Study Executive, CaHASE (Arlt et al. JCEM 2010 95 5110–5121). Compared to the health survey for England, metabolic abnormalities were common in adult patients with CAH: obesity (41%), hypercholesterolemia (46%), insulin resistance (29%),...

Having been diagnosed with congenital adrenal hyperplasia at the age of 5. I have been lucky enough to turn out as an adult with minimal impact from the condition, and lead a broadly normal life. This brief talk intends to provide a brief diagnostic background for my case, but mainly to focus on the lasting benefits that medical professionals can provide to a patient.When dealing with children, the importance of providing factual education to the parents...

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IntroductionA summary of developments in nursing over the past years in the specially endocrinolodical diseases. The presentation will respectively be in a nursing perspective and in a patient perspective. Furthermore it will be based on nursing for patients with acromegaly, Cushing’, Addison’ and pheochromocytoma.The results show a change in the quality of medical care for these groups of patients. It emerged from the nu...

Incorporating research findings into clinical practice is the primary reason why research is done. The main goal is to offer evidence-based care to the patients. Retaining the nursing findings and integrating them into the healthcare will provide an injustice to the nursing profession.Obtaining support from the leader team is important in a succesful research nursing project.We also need resources, time, training and energy if we w...

There is currently no set framework against which an adult endocrine nurse specialist can measure their practice. In December 2010, a working party was formed by the nurse committee of the Society for Endocrinology to draw up a competency framework for Adult Endocrine Nurses. The working party comprised of eight experienced endocrine specialist nurses with a mixture of adult and paediatric experience working in both NHS and private settings. The frame work was developed over a...

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