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Book Cover
E-book
Author Manni, Andrea.

Title Endocrine pathophysiology : a concise guide to the physical exam / Andrea Manni, Akuffo Quarde
Published Cham : Springer, 2020

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Description 1 online resource
Contents Intro -- A Concise Guide to the Physical Exam -- Preface -- Acknowledgments -- Contents -- About the Authors -- 1: Pituitary Gland Signs -- 1.1 Cushing's Disease -- 1.1.1 Proximal Myopathy -- 1.1.2 Fat Maldistribution -- 1.1.3 Striae and Skin Atrophy -- 1.1.4 Facial Plethora -- 1.1.5 Hirsutism -- 1.1.6 Hypertension -- 1.1.7 Fragility Fractures -- 1.1.8 Hyperpigmentation -- 1.2 Acromegaly -- 1.2.1 Acanthosis Nigricans -- 1.2.2 Frontal Bossing and Prognathism -- 1.2.3 Acrochordons and Other Skin Manifestations -- 1.2.4 Colonic Polyps -- 1.2.5 Tinel's Sign (Carpal Tunnel Syndrome)
1.2.6 Hypertension -- 1.3 Prolactinoma -- 1.3.1 Hypogonadism -- 1.3.2 Gynecomastia and Galactorrhea -- 1.3.3 Bitemporal Hemianopsia -- 1.4 Adult Growth Hormone Deficiency -- 1.4.1 Abnormal Body Composition -- 1.5 Growth Hormone Insensitivity (Laron-Type Dwarfism) -- 1.5.1 Short Stature -- 1.5.2 Obesity -- 1.5.3 Small Genitalia -- 1.6 Central Diabetes Insipidus -- 1.6.1 Dehydration due to Polyuria and Polydipsia -- References -- 2: Thyroid Gland Signs -- 2.1 Hashimoto's Thyroiditis -- 2.1.1 Queen Anne's Sign -- 2.1.2 Bradycardia -- 2.1.3 Pericardial and Pleural Effusions
2.1.4 Dry Skin -- 2.1.5 Macroglossia -- 2.1.6 Hyporeflexia -- 2.1.7 Proximal Myopathy -- 2.1.8 Galactorrhea -- 2.2 Graves' Disease -- 2.2.1 Thyroid Eye Disease -- 2.2.2 Pretibial Myxedema -- 2.2.3 Thyroid Acropachy -- 2.2.4 Onycholysis -- 2.2.5 Periodic Paralysis -- 2.2.6 Thyroid Bruit and Thrill -- 2.2.7 Tachycardia -- 2.2.8 Gynecomastia -- 2.2.9 Lymphadenopathy -- 2.2.10 Change in Body Composition (Weight Loss) -- 2.3 Euthyroid Goiter with Thoracic Outlet Syndrome -- 2.3.1 Pemberton's Sign -- 2.3.2 Other Compressive Signs (Superior Vena Cava Syndrome, Phrenic Nerve Paralysis)
2.4 Resistance to Thyroid Hormone -- 2.4.1 Goiter -- 2.4.2 Short Stature -- 2.5 Medullary Thyroid Cancer -- 2.5.1 Facial Flushing and Other Clinical Features of Neuroendocrine Origin -- 2.5.2 Cervical Mass -- References -- 3: Adrenal Gland Signs -- 3.1 Primary Adrenal Insufficiency -- 3.1.1 Postural Hypotension -- 3.1.2 Hyperpigmentation -- 3.2 Primary Hyperaldosteronism -- 3.2.1 Hypertension -- 3.2.2 Muscle Weakness -- 3.2.3 Atrial Fibrillation -- 3.2.4 Dehydration -- 3.3 Pseudohypoaldosteronism -- 3.3.1 Cardiac Arrest due to Life-Threatening Hyperkalemia
3.3.2 Cutaneous Manifestations (Folliculitis and Atopic Dermatitis) -- 3.4 Familial Glucocorticoid Deficiency -- 3.4.1 Hyperpigmentation -- 3.4.2 Hypoglycemia -- 3.5 Pheochromocytomas and Other Paraganglioma Syndromes -- 3.5.1 Hypertension -- 3.5.2 Hypotension -- 3.5.3 Generalized Hyperhidrosis -- 3.5.4 Cardiogenic Shock -- 3.6 Nonclassic Congenital Adrenal Hyperplasia (NCCAH) -- 3.6.1 Clinical Hyperandrogenism (Acne and Hirsutism) -- 3.6.2 Testicular Adrenal Rest Tumors -- 3.6.3 Signs of Insulin Resistance (Skin Tags and Acanthosis Nigricans) -- References
Summary This practical guide presents a concise approach to exploring endocrine pathophysiology through the physical exam, emphasizing common clinical signs in endocrinology that can be elicited through inspection, palpation, percussion or auscultation. The established and proposed mechanisms underlying these physical signs are highlighted, allowing students, residents and trainees to better appreciate endocrine pathophysiology at the bedside. The text is organized sensibly to facilitate quick and efficient review by medical trainees. Major diseases in endocrinology are grouped by organ systems - pituitary, thyroid, adrenal, and so on. Specific physical examination findings in each primary endocrine disease are reviewed and grouped under the categories of clinical features and pathophysiology, followed by related clinical and pathophysiology pearls. A brief description of the clinical finding is followed by a summary of the pathophysiologic mechanisms underlying the stated clinical finding. Relevant normal physiology and pathophysiology are reviewed where applicable, to facilitate learning. There are numerous texts on the pathophysiologic basis of diagnostic and laboratory findings in endocrinology. There is, however, no dedicated text to address questions that might be asked by trainees. Endocrine Pathophysiology satisfies this need in the literature
Bibliography Includes bibliographical references and index
Subject Endocrine glands -- Pathophysiology
Endocrine glands -- Diseases -- Diagnosis.
Diagnostic Techniques and Procedures
Endocrine System -- physiopathology
Endocrine glands -- Pathophysiology
Endocrine glands -- Diseases -- Diagnosis
Endocrinology
Form Electronic book
Author Quarde, Akuffo.
ISBN 9783030498726
3030498727