Clinical Cases in Endocrinology Group Discussion (Warwick Medical School) 2024 PDF
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Warwick Medical School
2024
Warwick Medical School
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Summary
This document is a collection of clinical cases in endocrinology, focusing on case studies and questions pertaining to investigations, treatments, and management strategies. Cases are structured for group discussions, and the details of patient histories and investigations, as well as the associated questions for medical students or professionals, are a part of the resource.
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Clinical Cases in Endocrinology Phase 2 Academic Block 1 Group Discussion August 2024 Learning outcomes To recognise the clinical presentation of four common endocrine conditions To understand the workup and basic management of these conditions Case 1 33 year old woman pr...
Clinical Cases in Endocrinology Phase 2 Academic Block 1 Group Discussion August 2024 Learning outcomes To recognise the clinical presentation of four common endocrine conditions To understand the workup and basic management of these conditions Case 1 33 year old woman presents to the ED with nausea and vomiting for a week 6 months of fatigue, lack of energy and weight loss of 2 stones Reports no purging, no abdominal pain, diarrhoea, dysuria, fever or headache PMH: Diagnosed with hypothyroidism a year ago, on levothyroxine O/E: Lying in bed, pale, listless, dehydrated, BP 93/60, pulse 112 bpm Chest and abdomen unremarkable Case 1: Blood results Results Normal range Sodium 128 umol/L 133 - 146 Potassium 5.7 mmol/L 3.5 - 5.3 Urea 16.7 mmol/L 2.5 – 7.8 Creatinine 82 umol/L 45 - 84 Plasma glucose 2.2 mmol/l 4 - 11 Amylase 42 IU/L 30 - 118 Examination Case 1 – Questions (Investigations) 1. Name 2 investigations that will enable you to make a diagnosis 2. List any 4 other relevant investigations 3. What is the diagnosis? Case 1 – Questions (Management) 4. What is the immediate treatment? 5. What is the long-term treatment? 6. What is the advice you would give to patient on discharge from hospital? Case 2 45 year old woman presents to the ED with high fever, agitation and confusion She has a history of weight loss of 7 kg and diarrhoea over 3 months. Also C/O palpitations, somnolence and restlessness over few days. PMH: Type 2 DM, on metformin, previous C-section x2 Clinical examination: Agitated patient. Sweaty palms. Observations: temp 40oC, BP 160/100, pulse 145 bpm, RR 18/min Bloods results awaited ECG Blood results Result Normal range Sodium 135 umol/L 133 - 146 Potassium 3.8 mmol/L 3.5 - 5.3 Urea 9.2 mmol/L 2.5 – 7.8 Creat 110 umol/L 45 - 84 Protein 65 g/L 60 - 80 Albumin 42 g/L 35 - 50 Bilirubin 10 umol/L
