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Comprised of illustrative clinical cases, this unique pocket guide presents descriptions of patients who have symptoms, physical signs or laboratory abnormalities that they believe are due to disorders of the endocrine system (hormone secreting glands and overall metabolism) but which are not, or probably are not, due to an endocrine disorder. These are common situations in the clinical practice of endocrinology.
Each chapter includes clinical cases illustrating differing presentations and outcomes, and each individual case description is followed by a discussion that includes the differential diagnosis of these symptoms, signs and/or lab abnormalities and why they are not likely due to endocrine disease or, alternatively, why and how a deeper exploration for endocrine disorders might be needed. In all cases, an emphasis is placed on listening to the patient and providing a respectful and compassionate response and approach to evaluation and management of the proposed disorder. Discussions are referenced whenever reference material is available, and evidence-based clinical practice guidelines are presented whenever applicable. Topics discussed include chronic and adrenal fatigue, obesity, anxiety and depression, sweating and flushing, alcohol- and opioid-induced symptoms, low testosterone, pseudo-hypoglycemia and pseudo-Cushing's syndrome, among others.
Clinical endocrinologists, primary care physicians and related allied medical professionals will find Management of Patients with Pseudo-Endocrine Disorders a valuable resource in their clinical practice with these common but often challenging patients.
List of contents
Pseudo-Endocrine Disorders: Definitions, Examples and Considerations.- Pseudo-Endocrine Disorders: My General Approach to Management of the Patient.- Rogue Practitioners and Practices.- Influence of the Internet in Endocrinology Practice.- Debunking Internet Myths: What Is the Best Approach?- Bewildered by Biotin.- Help, My Metabolism Is Low!- Idiopathic Postprandial Syndrome.- Pseudo-Hypoglycemia.- Chronic Fatigue.- Adrenal Fatigue.- Adrenal Insufficiency, "Relative Adrenal Insufficiency" or None of the Above?- Pseudo-Cushing's Syndrome: A Diagnostic Dilemma.- Pseudo-Cushing's Syndrome: Alcohol Abuse, Obesity and Psychiatric Disorders.- Pseudo-Pheochromocytoma.- Holistic Hypercalcemia.- Low Testosterone: Determine and Treat the Underlying Disorder.- Inappropriate Use of Mifepristone to Treat Diabetes Mellitus.- Insulin-like Growth Factor Deficiency.- Non-Thyroidal Hypothyroidism.- Wilson's Syndrome (Low T3 Syndrome).- Reverse T3 Dilemma.- Persistent Hypothyroid Symptoms Despite Adequate Thyroid Hormone Replacement.- Low Dose Naltrexone for Treatment of Hashimoto's Thyroiditis.- Hashimoto Encephalopathy.- Non-Thyroidal Illness Syndrome (Euthyroid Sick Syndrome).
About the author
Michael T. McDermott, MD, Professor of Medicine and Clinical Pharmacy, Director of Endocrinology and Diabetes Practice, University of Colorado Hospital, Aurora, CO, USA
Summary
Comprised of illustrative clinical cases, this unique pocket guide presents descriptions of patients who have symptoms, physical signs or laboratory abnormalities that they believe are due to disorders of the endocrine system (hormone secreting glands and overall metabolism) but which are not, or probably are not, due to an endocrine disorder. These are common situations in the clinical practice of endocrinology.
Each chapter includes clinical cases illustrating differing presentations and outcomes, and each individual case description is followed by a discussion that includes the differential diagnosis of these symptoms, signs and/or lab abnormalities and why they are not likely due to endocrine disease or, alternatively, why and how a deeper exploration for endocrine disorders might be needed. In all cases, an emphasis is placed on listening to the patient and providing a respectful and compassionate response and approach to evaluation and management of the proposed disorder. Discussions are referenced whenever reference material is available, and evidence-based clinical practice guidelines are presented whenever applicable. Topics discussed include chronic and adrenal fatigue, obesity, anxiety and depression, sweating and flushing, alcohol- and opioid-induced symptoms, low testosterone, pseudo-hypoglycemia and pseudo-Cushing's syndrome, among others.
Clinical endocrinologists, primary care physicians and related allied medical professionals will find
Management of Patients with Pseudo-Endocrine Disorders a valuable resource in their clinical practice with these common but often challenging patients.
