Endocrinology Consultations Archive
How can a clinician distinguish chronic pancreatitis from acute pancreatitis in a patient with alcohol-abuse history?
Assessing BMI regularly can help prevent long-term obesity problems.
Are more aggressive approaches to cardiac work up warranted in patients with diabetes?
In which disease states or at what stages of chronic kidney disease is the HbA1c test no longer reliable?
What is the best, safest and most cost-effective treatment for women with excess body hair?
A fragility fracture is defined as a fracture resulting from a fall from a standing height or less.
Should oral progesterone be prescribed in combination with vaginal estrogen?
Why are individuals with diabetes especially prone to developing frozen shoulder?
A patient requests her testosterone level be checked because she had heard that belly fat is related to low testosterone levels. Is there any truth to this?
Does fruit juice carry the same diabetes risk as other sugar-sweetened beverages?
Are there any studies that support eliminating foods like sugar, milk and wheat to improve Hashimoto disease symptoms?
Are dual-energy x ray absorptiometry scans safe for patients taking anti-seizure medication?
Can thyroid hormone replacement therapy affect bone density?
A patient has elevated creatine and fasciculations. Could an electrolyte imbalance be the cause?
Two clinicians disagree on a diagnosis after reviewing two-hour oral glucose tolerance test results. Who is correct?
A patient with newly diagnosed diabetes has a hemoglobin (Hb) A1c of 12.2% and glucose 350 mg/dL, despite increasing insulin (glargine [Lantus]) to 25 units. What else can be done to lower blood sugar?
Could a vegetarian diet be contributing to an older woman's alopecia?
How should a primary care clinician follow-up after performing a lipid profile on an obese pediatric patient?
Could positive thyroid peroxidase adversely affect a mother's milk supply?
If follicle-stimulating hormone is >20 mIU/mL, most clinicians counsel patients against contraception, as the risk of pregnancy is virtually nil.
A 69-year-old man with multiple health conditions develops gynecomastia after hemodialysis. Are the two related?
Can vitamin D deficiency play a role in post-fracture pain?
How can a clinician determine whether it's appropriate to raise or lower bedtime insulin in a patient experiencing difficulty controlling morning glucose levels?
Can a patient with new-onset hypothyroidism be started on levothyroxine 50 µg/day without endocrine referral?
Is it safe to restart osteoporosis medications in patients with stage 5 chronic kidney disease?
What is the preferred thyroid management for a woman aged 34 years who presents with an enlarged thyroid, no nodules and irregular menstrual periods for the past six months?
When is it appropriate to refer diabetic and hypertensive patients to a renal specialist?
What is maturity onset diabetes of the young (MODY)? How does it differ from types 1 and 2 diabetes?
How would you proceed with a 64-year-old woman who has complex endometrial hyperplasia and secretory changes?
What is the likelihood of acid-reflux rebound in a patient stopping a proton-pump inhibitor (PPI) (pantoprazole [Protonix]) after taking the medication for one month or more?
What is the treatment goal for B12 in a patient with diabetic neuropathy, given the wide range of normal (200-950 pg/mL)?
The risk for experiencing a serious GI event rises exponentially with increasing numbers of risk factors.
Following gastric bypass surgery, many patients will still need metformin or glipizide (Glucotrol). Is there any evidence that one class of hypoglycemic agents is better absorbed than another?
Tight glycemic, BP and cholesterol control, as well as weight reduction, exercise and smoking cessation can help prevent renal nephropathy.
What are the effects of using insulin detemir as first-line treatment for type 2 diabetes?
How much B12 supplement is adequate for patients on metformin?
What kind of screening is done when a patient wants to change sex? Are there any useful interventions to help with this transition?
Is there any role for C-peptide in the management of type 2 diabetes mellitus?
Is it prudent to discontinue insulin in an incarcerated man with diabetes who was started on insulin while in jail, but who wishes to stop treatment?
Should a clinician advise a patient's parent that ADHD medicine will help with obesity?
What is the mechanism of action of teriparatide, the new parathyroid hormone (PTH) analog being used for the treatment of osteoporosis?
A clinician contemplates dapsone for granuloma annulare. Should other treatments be considered?
A white woman aged 53 years has had several episodes of syncope that start with nausea, abdominal cramping, and, often, an urge to defecate.
At what T-score and patient age does the benefit of bisphosphonate therapy outweigh the risk?
A black woman aged 52 years developed large (1.5-2.0 cm wide), fluid-filled blisters on her swollen ankles. There were no other symptoms, and the patient's health history was unremarkable except for anemia. What could be the cause?
What is the normal range of creatine kinase (CK) for well-muscled men who lift weights?
Does research support the addition of coenzyme Q10 for those on lipid-lowering medication?
What is the best way to tactfully discuss a child's excess weight with his or her parent?
A 25-year-old woman reports that from menarche until age 19 years, she menstruated only once a year.
What are the clinical concerns for a 55-year-old, postmenopausal, Caucasian nonsmoker with a hematocrit of 52% and hemoglobin of 17 g/dL?
What are the most recent screening and diagnostic criteria for maturity-onset diabetes of the young?
A 54-year-old man from India with a history of type 2 diabetes, hypertension, and dyslipidemia, has cold hands and feet despite wearing sufficient clothing. A specialist has ruled out Raynaud's disease.
Is there a source of calcium that is lead-free?
In rural health-care settings, many patients are reluctant to use insulin.
How high can creatinine go before you must...
A 48-year-old Caucasian woman diagnosed with type 1 diabetes at the age of 10 complains of stiffness in her wrists, elbows, knees, and ankles.
A 20-month-old girl born premature was diagnosed with necrotizing enterocolitis and underwent...
In light of concerns surrounding rosiglitazone (Avandia), what agent would...
Will using a diuretic with hydrochlorothiazide in a patient with hypertension and type 2 diabetes contribute to worsening of his hyperglycemia?
Is there any direct relation between consumption of corn tortillas and the incidence of...
What is the most effective treatment for polyarthritis in a patient with...
Are individuals taking metformin for type 2 diabetes still allowed one or two alcoholic drinks daily?
Now that colesevelam (WelChol), a bile acid sequestrant (BAS), has been shown to decrease hemoglobin A1c (HbA1c), should it be the agent of...