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Drew Provan

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date: 05 July 2020

This chapter contains guidance for the generalist, general physician, and trainee endocrinologist on how to approach a wide range of endocrine and metabolic conditions by means of structured flow charts or tables. Electrolyte disturbances (low and high sodium, potassium, calcium states), as well as common clinical presentations that often have an endocrine cause (hypertension, polydipsia/polyuria, obesity, delayed/precocious puberty, short stature, galactorrhoea, gynaecomastia, amenorrhoea, hirsutism, impotence, and infertility), are covered. Guidance is also given on the further investigation of states of endocrine excess and deficiency, including hypopituitarism, acromegaly, hyper-/hypoadrenalism, and hyper-/hypothyroidism. Investigation and classification of common and rare causes of diabetes and hyperlipidaemia are included, as well monitoring of glucose control and the investigation of hyperglycaemic emergencies. Protocols are provided for the common endocrine dynamic tests. All sections contain references to up-to-date published guidance. Although information is provided on paediatric conditions, more detailed texts will be required for specialist paediatric diagnoses.

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