2022 Endocrine Case Management: Meet the Professor-2022 Meet the Professor Book

2022 Meet the Professor Book

Pdf Summary

Electronic tools and technology can improve weight-loss care by assisting patients with tracking dietary intake and physical activity, providing education and support, and monitoring their progress. Bariatric surgery in adolescents with severe obesity can lead to significant weight loss and improvements in metabolic parameters, as well as psychological well-being. Key nutritional deficiencies known to occur after bariatric surgery include deficiencies in vitamins B12, iron, and vitamin D. The appropriate diagnostic test for Cushing syndrome is a 24-hour urinary free cortisol measurement. In the case of an incidentally found adrenal mass, the thoracic surgeon should continue with the planned coronary artery bypass grafting after informing the anesthesiologist about the presence of the adrenal incidentaloma. Discontinuation of denosumab can lead to a rebound increase in bone turnover, and follow-on treatment options, such as zoledronate, should be considered. Therapeutic plasma exchange is not appropriate for the management of lipoprotein X. Lifestyle modifications and regular monitoring are important for managing mild elevations in liver function tests, and pharmacologic interventions are not indicated at this time. Inclisiran has shown promising results in reducing LDL-C levels, and the use of continuous glucose monitoring can provide valuable information on glycemic control in individuals with diabetes. The appropriate treatment for transient diabetes insipidus following pituitary surgery is close monitoring, with desmopressin considered for severe symptoms or hyponatremia. The diagnosis and management of multiple endocrine neoplasia type 1 (MEN 1) involve early recognition of associated tumors and regular monitoring. Acromegaly management includes surgical removal of the pituitary adenoma, followed by adjuvant medical therapy if needed. The decision to initiate GnRH analog therapy for central precocious puberty should be individualized based on various factors. Hypothyroidism management may include a trial of combination therapy with levothyroxine and liothyronine. Postoperative surveillance for medullary thyroid carcinoma involves physical examination, cervical ultrasonography, and biochemical studies every 6 months for the first year and annually thereafter. Androgenic performance-enhancing drug abuse can have significant adverse effects and requires a collaborative and nonjudgmental approach to management. E-consults provide primary care clinicians with access to specialty expertise in endocrinology and offer various benefits, including faster access to care and cost savings.

Keywords

electronic tools

weight-loss care

bariatric surgery

nutritional deficiencies

Cushing syndrome

adrenal incidentaloma

denosumab

glycemic control

pituitary surgery

medullary thyroid carcinoma


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