Endocrine emergencies ML 16 male Bloods

Endocrine emergencies

ML 16 male

Bloods on initial presentation

ML Case progress

ML Case progression

ML Case progression

ML Reflection

Adrenal Insufficiency … and long term steroids- common

Acute adrenal insufficiency Management (1)

Management (2)

Patients on long term steroids

Efcortesol

EC 58 male

EC 58 male

EC 58 male

EC Results

EC Meanwhile…. .

EC Progress with Ix

EC

EC

EC

EC

EC

Hypopituitarism

Hypopituitarism

EC Reflection

Summary- Adrenal insufficiency

Summary (2)

Case 2 HW 22 yr

Case 2 HW 21/9/16 Initial MRI

Case 2 HW 21/9/16 Initial MRI

Case 2 HW 22 yr

Case HW 2017 Post-op MR Nov

Case 2 HW 22 yr

Case 2 HW Questions

Case 3 Day 1 PA 48 year old

PA 48 y Male

PA 48 yr Male Day 2

PA 48 yr Male 3 Day

PA MRI following Apoplexy October 2017

PA MRI following Apoplexy October 2017

PA 48 Y Day 4

PA 48 y 5 -6 Day

PA 48 y Decision Time

PA 48 yr progress Subsequent

PA MRI following Apoplexy October 2017

PA MR Follow-up Feb 2016 (4 months post apoplexy)

PA 48 y progress Subsequent

PA 48 male Fields 2016

PA MR Follow-up January 2017

Case 3 PA Questions

Case 1 DL Questions

Case 2 HW Questions

Case 3 PA Questions

Pituitary disease -mechanism of problems

Left- deteriorating vision Right- normal scan

Investigations in acute hypopituitarism

Management of acute hypopituitarism

Pituitary apoplexy

Apoplexy- presentation

Headache in apoplexy

Endocrine effects

Who is at risk?

Pituitary disease- Summary

Results of hypopit patient recently seen

Pt C 57 y female

………

Management of thyrotoxic crisis

Beta blockers in thryotoxic storm

TFT patterns

…resultant practice point

BF 38 yr male

Results for BF

What shall we do?

Central pontine myelinolysis

Central pontine myelinolysis

Central pontine myelinolysis

Setting aims when correcting hyponatraemia

Formula for working out required saline infusion

Potential problems with use of formula

BF progress

Hyponatraemia summary