A 33-year-old woman presented with tiredness, palpitations, weight loss and emotional lability 9 weeks after the birth of her third child. On examination, she had a sinus tachycardia, a fine tremor, slight lid retraction...
A 26-year-old woman was urgently referred to clinic with a 6-week history of retroorbital headaches and deteriorating vision. Her past medical history was unremarkable, although on questioning she admitted that she had recently found...
A 39-year-old man was admitted with severe burns. On examination, he was noted to be persistently tachycardic. Investigations: serum thyroid-stimulating hormone0.2 mU/L (0.4C5.0) serum free T410.0 pmol/L (10.0C22.0) serum free T32.5 pmol/L (3.0C7.0) What...
A 39-year-old woman with Graves’ disease was considered suitable for treatment with radioiodine. She was keen that her thyrotoxicosis should not recur. The plan was to request a 600 MBq dose. What is the...
A 52-year-old woman had been found to have type 2 diabetes mellitus approximately 6 months previously. Investigations: haemoglobin A1c50 mmol/mol (20C42) What is the lifetime risk of her identical twin sister also developing type...
A 57-year-old man was admitted to hospital with joint pains. He was found to have gout. He had been found to have type 2 diabetes mellitus at the age of 47 years and developed...
A 26-year-old woman was recovering from diabetic ketoacidosis and had been switched to her usual basal bolus insulin regimen. Her capillary blood glucose measurements during the day were high but fasting plasma glucose was...
A 58-year-old man was referred to the endocrine clinic after a CT scan of abdomen had shown a 4.5-cm left adrenal mass, with a Hounsfield unit measurement of 11 (consistent with high lipid content)....
A 66-year-old woman was admitted with carpopedal spasm. During the previous week she had had 2 days of diarrhoea following treatment with ciprofloxacin for a urinary tract infection. She had long-standing rheumatoid arthritis treated...
A 48-year-old woman presented with a 2-year history of weight gain, easy bruising and mood disturbance. Investigations: fasting plasma glucose6.9 mmol/L (3.0C6.0) low-dose dexamethasone suppression test (2 mg/day for 48 h): serum cortisol200 nmol/L...
