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Postgraduate Medical Journal 2007;83:79-86; doi:10.1136/pgmj.2006.049445
Copyright © 2007 The Fellowship of Postgraduate Medicine
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REVIEW

Diabetic and endocrine emergencies

T Kearney , C Dang

Hope Hospital, Salford, UK

Correspondence to:
Correspondence to:
Dr T Kearney
Hope Hospital, Stott Lane, Salford M6 8HD, UK;Tara.Kearney{at}srht.nhs.uk

Endocrine emergencies constitute only a small percentage of the emergency workload of general doctors, comprising about 1.5% of all hospital admission in England in 2004–5. Most of these are diabetes related with the remaining conditions totalling a few hundred cases at most. Hence any individual doctor might not have sufficient exposure to be confident in their management. This review discusses the management of diabetic ketoacidosis, hyperosmolar hyperglycaemic state, hypoglycaemia, hypercalcaemia, thyroid storm, myxoedema coma, acute adrenal insufficiency, phaeochromocytoma hypertensive crisis and pituitary apoplexy in the adult population.

Abbreviations: ACTH, adrenocorticotropic hormone; DKA, diabetic ketoacidosis; HHS, hyperosmolar hyperglycaemic state




eLetters:

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the possible role of acidosis-related capillary permeability in adult respiratory distress syndrome
oscar,m jolobe
Postgrad Med J Online, 21 Feb 2007 [Full text]
Comments to Diabetic and endocrine emergencies
Viktor Rosival
Postgrad Med J Online, 26 Jun 2007 [Full text]
Use of empirical hydrocortisone in suspected adrenal crisis
Mark A R Jadav
Postgrad Med J Online, 17 Oct 2007 [Full text]
Treatment of Acute Adrenal Crisis.
Robert James
Postgrad Med J Online, 18 Dec 2007 [Full text]

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