内分泌学中的诊断协议

English | 2024 | ISBN-10: 9811966524 | 135 pages| Epub PDF (True) | 17 MB

Endocrinology is perhaps, the only branch of medicine where stimulation and suppression testing are required as the initial step for biochemical confirmation of the clinical condition as hormone secretion is pulsatile. One of the primary needs for an endocrinologist is a pocketbook that can serve as a guide for performing and interpreting these tests. Unfortunately, there is no single source of these protocols, procedures, and interpretation of these tests in the country or even in the Southeast Asia region. This protocol manual is designed to be a ‘ready reckoner’ for endocrinologists for performing these tests.

Disorders of various endocrine glands, including pituitary, thyroid, pancreas, adrenal, gonads, and bone and mineral disorders, have been addressed. The book includes prerequisites and indications of a given test, principles of the testing, detailed procedure, and interpretation. Participant information and instruction sheets have been included, when applicable, to be given as a handout to patients prior to these tests. The manual contains algorithms (e.g., for approaching cases with hypoglycemia) and interpretation provided in a tabular format. It also lists troubleshooting measures for specific tests, when applicable. Further, clinical case scenarios substantiated by clinical and radiological images have been incorporated in the manual to highlight the procedure and interpretation of these tests in the management of challenging clinical cases. The manual is designed to be a comprehensive yet concise document covering all these aspects. Besides blood-based investigations, procedures which are undertaken in challenging endocrine scenarios, including inferior petrosal sinus sampling, and adrenal venous sampling have been elucidated in a crisp and practical manner.

内分泌学可能是唯一一个需要在临床条件的生化确认过程中，通过刺激和抑制测试作为第一步的分支医学。内分泌科医生的一个主要需求是作为一种指南来执行和解释这些测试的小册子。不幸的是，在国家乃至东南亚地区都没有单一来源提供这些协议、程序以及对这些测试的解释。此操作手册的设计是为了为内分泌科医生进行这些测试提供便利。 已涵盖了各种内分泌腺体（包括垂体、甲状腺、胰腺、肾上腺、性腺和骨骼矿物质疾病）的异常情况。该书包括给定测试的前提条件和指征、检测原理、详细程序以及解释。当适用时，已包含参与信息和说明单页作为患者在这些测试之前的手册资料。手册中包含了算法（例如，针对低血糖案例的方法）、以表格格式提供的解释，并列出了特定测试的解决措施。它还列举了适用于具体测试的临床案例情景，这些案例情景由临床和影像学图像支持，用以强调对复杂临床案例进行检测程序和解释的重要性。该手册旨在覆盖所有这些方面的一个全面但简洁的文档。 除了血液检查之外，在内分泌学挑战性场景下的流程和检查已被清晰且实用地阐明了，包括下颌内静脉采样和肾上腺静脉采样等操作。

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