Download Challenging cases in endorinology by Mark E Molitch PDF

By Mark E Molitch

Show description

Read or Download Challenging cases in endorinology PDF

Best nonfiction_6 books

Pilots handook for the XB-35 heavy bombardment airplane

Руководство для пилота самолета «XB-35». «Летающее крыло» — разновидность схемы «бесхвостка» с редуцированным фюзеляжем, роль которого играет крыло, несущее все агрегаты, экипаж и полезную нагрузку.

Additional resources for Challenging cases in endorinology

Example text

The hallmark of the reset osmostat variant of SIADH is that the patient regulates his or her plasma osmolality appropriately around a reduced set-point (4,5). There is a downward resetting of the level of plasma osmolality at which osmoreceptors control AVP secretion. AVP is normally responsive to osmotic influences, but the osmotic threshold or set-point for AVP release is subnormal. Thus, water retention occurs above the reset osmostat level although plasma osmolality is still below normal ranges.

Cytosolic autoantigens in lymphocytic hypophysitis. J Clin Endocrinol Metab 1998;83:609– 618. 6. Feigenbaum SL, Martin MC, Wilson CB, Jaffe RB. Lymphocytic adenohypophysitis: a pituitary mass lesion occurring in pregnancy; proposal for medical treatment. Am J Obstet Gynecol 1991;164:1549–1555. CASE #3: PITUITARY APOPLEXY Case Presentation A 46-yr-old man presented to the emergency room of a community hospital with a 6-h history of a sudden, severe, frontal headache that awakened him from sleep.

Patients who failed to improve after 1 wk of dexamethasone were surgically treated. The authors found that patients treated conservatively had a similar neurologic and neuroophthalmologic improvement when compared to surgically treated patients. However, it is obvious from the design of the study that surgically treated patients had more severe symptoms at presentation. Despite that limitation, it is clear that conservative therapy can be used in selected patients with minimal symptoms and those who improve dramatically after glucocorticoid administration.

Download PDF sample

Rated 4.78 of 5 – based on 21 votes