Endocrinology and Diabetes Case Studies, Questions and Commentaries

This book assembles a number of real-life clinical cases that illustrate aspects of both diabetes and endocrinology. The cases are described as they may present to the clinician, followed by a series of questions that illustrate the clinical problem and p

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Endocrinology and Diabetes Case Studies, Questions and Commentaries

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Endocrinology and Diabetes

Ramzi Ajjan • Stephen M. Orme Editors

Endocrinology and Diabetes Case Studies, Questions and Commentaries

Editors Ramzi Ajjan Cardiovascular and Diabetes Research University of Leeds Leeds, UK

Stephen M. Orme Department of Endocrinology St. James’s Hospital Leeds, UK

ISBN 978-1-4471-2788-8 ISBN 978-1-4471-2789-5 DOI 10.1007/978-1-4471-2789-5

(eBook)

Library of Congress Control Number: 2015936752 Springer London Heidelberg New York Dordrecht © Springer-Verlag London 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag London Ltd. is part of Springer Science+Business Media (www.springer.com)

This book is dedicated to our mentors, trainees, students and patients, and our wives and daughters.

Preface

The practice of diabetes and endocrinology is a clinical discipline, which relies on structured detective work in order to make the correct diagnosis. This in turn requires a combination of good observational skills and an ability to interpret complex results within the clinical context. Presentation of patients with the same endocrine condition can be variable, which adds to the complexity making this field of medicine both challenging and enjoyable. In this book, we assembled a number of real-life clinical cases that illustrate aspects of both diabetes and endocrinology. The clinical vignettes presented have been written by practising physicians and surgeons who encountered these patients in their day-to-day practice. Some represent common presentations of relatively rare conditions, whilst others describe uncommon presentations of more familiar disorders. The cases are described as they may present to the clinician, followed by a series of questions that illustrate the clinical problem and provide background information. The list is not intended to be exhaustive, and a systematic approach is deliberately avoided. The main a