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Pseudo-Endocrine Disorders: Definitions, Examples, and Considerations
Pages 1-14
Comprised of illustrative clinical cases, this unique pocket guide presents descriptions of patients who have symptoms, physical signs or laboratory abnormalities that they believe are due to disorders of the endocrine system (hormone secreting glands and overall metabolism) but which are not, or probably are not, due to an endocrine disorder. These are common situations in the clinical practice of endocrinology.
Each chapter includes clinical cases illustrating differing presentations and outcomes, and each individual case description is followed by a discussion that includes the differential diagnosis of these symptoms, signs and/or lab abnormalities and why they are not likely due to endocrine disease or, alternatively, why and how a deeper exploration for endocrine disorders might be needed. In all cases, an emphasis is placed on listening to the patient and providing a respectful and compassionate response and approach to evaluation and management of the proposed disorder. Discussions are referenced whenever reference material is available, and evidence-based clinical practice guidelines are presented whenever applicable. Topics discussed include chronic and adrenal fatigue, obesity, anxiety and depression, sweating and flushing, alcohol- and opioid-induced symptoms, low testosterone, pseudo-hypoglycemia and pseudo-Cushing's syndrome, among others.
Clinical endocrinologists, primary care physicians and related allied medical professionals will find Management of Patients with Pseudo-Endocrine Disorders a valuable resource in their clinical practice with these common but often challenging patients.
Pseudo-Endocrine Disorders: Definitions, Examples, and Considerations
Pages 1-14
Pseudo-Endocrine Disorders: My General Approach to Management of the Patient
Pages 15-21
Rogue Practitioners and Practices
Pages 23-30
Influence of the Internet in Endocrinology Practice
Pages 31-35
Debunking Internet Myths: What Is the Best Approach?
Pages 37-50
Bewildered by Biotin
Pages 51-75
Help, My Metabolism Is Low!
Pages 77-89
Idiopathic Postprandial Syndrome
Pages 91-97
Pseudohypoglycemia
Pages 99-107
Chronic Fatigue
Pages 109-125
Adrenal Fatigue
Pages 127-137
Adrenal Insufficiency, “Relative Adrenal Insufficiency,” or None of the Above?
Pages 139-157
Pseudo-Cushing’s Syndrome: A Diagnostic Dilemma
Pages 159-177
Pseudo-Cushing’s Syndrome: Alcohol Abuse, Obesity, and Psychiatric Disorders
Pages 179-192
Pseudopheochromocytoma
Pages 193-201
Holistic Hypercalcemia
Pages 203-214
Low Testosterone: Determine and Treat the Underlying Disorder
Pages 215-226
Inappropriate Use of Mifepristone to Treat Diabetes Mellitus
Pages 227-234
Insulin-like Growth Factor-1 Deficiency
Pages 235-249
Non-thyroidal Hypothyroidism
Pages 251-271
Wilson’s Syndrome (Low T3 Syndrome)
Pages 273-289
Reverse T3 Dilemma
Pages 291-299
Persistent Hypothyroid Symptoms Despite Adequate Thyroid Hormone Replacement
Pages 301-316
Low-Dose Naltrexone Treatment of Hashimoto’s Thyroiditis
Pages 317-326
Hashimoto Encephalopathy
Pages 327-329
Non-thyroidal Illness Syndrome (Euthyroid Sick Syndrome)
Pages 331-339
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