Tristan Richardson

Tristan Richardson

Affiliations: BSc MBBS MRCP Consultant in Diabetes and Endocrinology Royal Bournemouth Hospital, Dorset

All Journals from Tristan Richardson

Acute Hypoglycaemia: Diagnostic criteria, Investigation and Management for the Emergency Physician

Abstract

Hypoglycaemia is a common condition, which may easily be missed due to the variation in clinical presentation in patients with or without diabetes. The most common cause is related to the treatment of diabetes. Non-diabetes related hypoglycaemia is rare. Nonetheless, the need for careful evaluation of the underlying cause is important as well as relieving symptoms.

The diagnosis and investigations involved in management of hypoglycaemia are discussed with a direct relevance to the acute general physician.

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Addison’s Disease Presenting with Abdominal Pain

Abstract

Primary Adrenal Insufficiency is due to bilateral destruction of the adrenal cortex and has a prevalence of approximately 40-60 per million adults. 1 The commonest cause is autoimmune. 1 Prompt treatment not only restores quality of life but also a normal life expectancy. 2 Here we present an unusual case of primary adrenal insufficiency, which illustrates how such an important disease often provides a diagnostic conundrum.

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