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  • Book
    Rajesh K. Garg, James V. Hennessey, Alan Ona Malabanan, Jeffrey R. Garber, editors.
    Summary: A user-friendly, pocket-sized reference for all physicians faced with endocrine care and challenges in hospitalized patients, this handbook covers the most common issues leading to an inpatient endocrine consult, providing differential diagnoses, a reasonable and practical approach to investigating and managing the condition, and advice for follow-up. Conditions discussed include thyrotoxicosis and thyroid storm, calcium disorders, osteoporosis, Cushing's syndrome, pheochromocytoma and paraganglioma, primary hyperaldosteronism, hypoglycemia in diabetic and non-diabetic patients, and endocrine issues during pregnancy, among others. Suggestions for further reading are included, providing more context for well-established clinical approaches. Written by experts with years of experience providing endocrinology consultations in a hospital setting, Handbook of Inpatient Endocrinology is a valuable, high-yield resource for endocrine residents and fellows, but it will be equally useful for any busy hospitalist or primary care physician when endocrinology consults are not available.

    1: Pituitary Apoplexy
    Precipitating Factors/Patients at Risk
    Obtain Detailed Clinical History
    Perform Detailed Physical Exam Including Cranial Nerves and Visual Fields
    Evaluation of Endocrine Dysfunction/Laboratory Assessment
    Consider Initiation of Corticosteroid Treatment
    Acute Intervention: Surgery vs. Conservative Treatment
    Postoperative Care
    Monitor for Signs and Laboratory Abnormalities Suggestive of Diabetes Insipidus (DI)
    Assess Pituitary Reserve Visual Assessment
    Follow-Up After Discharge
    Check Electrolytes After 1 Week
    Reassess Pituitary Function After 4 to 8 Weeks
    Suggested Reading
    2: Panhypopituitarism
    Definition and Significance
    Identify Causes of Hypopituitarism
    Mass Lesions
    Traumatic Brain Injury
    Systemic Diseases
    Genetic Causes
    Diagnosis of Hypopituitarism in the Hospital
    Assess Anterior Pituitary Function
    Adrenal Axis
    Thyroid Axis
    Other Axes
    Assess Posterior Pituitary Function
    Management of Hypopituitarism in the Hospital Management of Hypopituitarism at the Time of Discharge
    Suggested Reading
    3: Postoperative Management After Pituitary Surgery
    Assess Hormone Status Before Surgery if Possible
    Intraoperative/Postoperative Steroids
    Patient with Unknown Adrenal Function Prior to Surgery
    Patients Known to Have Preexisting Adrenal Insufficiency
    Patients Known to Have Normal Adrenal Function Preoperatively and Patients with Cushing's Disease
    Diabetes Insipidus/Sodium Management
    Arrange Endocrine Follow-Up Within 1-2 Weeks of Discharge
    Suggested Reading 4: Severe Thyrotoxicosis and Thyroid Storm
    Performing the History for Thyrotoxicosis
    Assess Symptoms of Thyrotoxicosis
    Assess for the Etiology of Thyrotoxicosis
    Assess for Medications That Affect Thyroid Status
    Performing the Physical Exam for Thyrotoxicosis
    Key Findings in Thyrotoxicosis
    Specific Exam Findings in Different Causes of Thyrotoxicosis
    Assessing for Thyroid Storm
    Making a Diagnosis of Thyroid Storm
    Obtain Thyroid Function Tests
    Biochemical Findings in Thyrotoxicosis
    Obtain Testing to Identify Underlying Illnesses
    Digital Access Springer 2020