Abstract
Endocrine emergencies are uncommon and require a high index of suspicion if they are to be managed appropriately. This is especially pertinent to physicians accepting emergency admissions to hospital. Treatment needs to be started prior to diagnostic confirmation. We outline the management of the following conditions that may present acutely: Thyroid emergencies - Myxoedema coma - Thyroid Storm Pituitary apoplexy Phaeochromocytoma crisis Acute adrenocortical insufficiency.
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References
- Braverman LE, Utiger RD (editors). Werner & Ingbar’s The Thyroid, ed 8, Philadelphia 2000, Lippincott, Williams and Wilkins, p1081.
- Grossman AB (editor). Clinical Endocrinology, ed 2, 1998, Blackwall Science Ltd, Primary adrenocortical failure, p474-483.
- Randeva HS, Schoebel J, Byrne J, et al; Classical pituitary apoplexy: clinical features, management and outcome. Clin Endocrinol (Oxf) Aug 1999; 51(2): 181-8.
- Tietgens ST, Leinung MC. Thyroid Storm. Med Clin North Amer 1995; 79: 169-184.
- Werbel SS, Ober KP. Phaeochromocytoma. Update on diagnosis, localisation, and management. Med Clin North Am Jan 1995; 79(1): 131-53
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