Authors | p. xii |
Preface | p. xvi |
Introduction to Endocrinology | p. 1 |
The Endocrine System | p. 2 |
Hormones: Endocrine, Paracrine, & Autocrine Actions | p. 3 |
Chemical Composition of Hormones | p. 3 |
Relationships between Hormones & Other Signaling Molecules | p. 4 |
Neurotransmitters & Hormones | p. 4 |
Vitamins & Hormones | p. 5 |
Oncogenes & Hormones | p. 5 |
The Immune System & Hormones | p. 5 |
Eicosanoids: Prostaglandins & Related Compounds | p. 6 |
Mechanisms of Hormone Action | p. 6 |
Hormone Receptors | p. 6 |
Hormone Effects on Receptor Activity | p. 8 |
Classes of Hormone Action | p. 8 |
Classification of Hormone Action by Receptor Type | p. 8 |
Classification of Hormone Action by Ligand Type | p. 9 |
Mechanisms of Ligand Action | p. 10 |
Regulation of Hormone Responsiveness | p. 11 |
Hormone Responses Can Be Self-Limiting | p. 11 |
Different Signals Influence Hormone Responsiveness | p. 11 |
Modulation of Hormone Levels | p. 12 |
Hormone Synthesis | p. 12 |
Regulation of Hormone Production | p. 12 |
Hormone Transport in the Circulation | p. 13 |
Transport of Hormones across the Membrane | p. 14 |
Metabolism & Elimination of Hormones | p. 14 |
Recombinant DNA, Genomics, Proteomics, & Endocrinology | p. 15 |
Sequencing of the Human Genome | p. 16 |
Genomics & Patterns of Transcription | p. 16 |
Proteomics | p. 16 |
Molecular Basis of Genetic Endocrine Disease | p. 17 |
Evolution of the Endocrine System | p. 17 |
The Origins of Regulatory Chemicals & the Metabolic Code | p. 18 |
Evolution of Hormones & Receptors | p. 18 |
Evolution of Multiple Hormone Response Systems | p. 19 |
Evolution of Endocrine Glands | p. 19 |
Integrative Networks | p. 19 |
Endocrine & Nervous System Relationships: Neuroendocrinology | p. 19 |
Hypothalamic-Pituitary Relationships | p. 20 |
Endocrine Organs & Hormone Production | p. 21 |
Actions of Hormones | p. 21 |
Hormone Release | p. 21 |
Fetal Development | p. 21 |
Cell Growth & Cancer | p. 21 |
Hormonal Effects on Intermediary Metabolism | p. 22 |
Hormonal Effects on Mineral & Water Metabolism | p. 22 |
Hormonal Effects on Cardiovascular & Renal Function | p. 22 |
Hormonal Effects on Skeletal Function | p. 23 |
Hormonal Effects on Reproductive Function | p. 23 |
Hormonal Effects on the Immune System | p. 23 |
Hormonal Effects on the Central Nervous System | p. 23 |
Selective Modulation | p. 24 |
Disorders of the Endocrine System | p. 24 |
Endocrine Hypofunction | p. 25 |
Endocrine Hyperfunction | p. 25 |
Defects in Sensitivity to Hormones | p. 26 |
Syndromes of Hormone Excess Due to Administration of Exogenous Hormone | p. 27 |
Nonendocrine Problems Associated with Endocrine Disease | p. 28 |
Approach to the Patient with Endocrine Disease | p. 28 |
Evidence-Based Endocrinology | p. 28 |
History & Physical Examination | p. 29 |
Laboratory Studies | p. 29 |
Screening for Endocrine Diseases | p. 33 |
Clinical Interpretation of Laboratory Tests | p. 34 |
Treatment of Endocrine Diseases | p. 34 |
Uses of Hormones & Selective Modulators in Therapy of Nonendocrine Disease | p. 35 |
Hormone Synthesis & Release | p. 38 |
Compartmentation of Eukaryotic Cells in Relation to Hormone Synthesis & Release | p. 38 |
Overview of Hormone Biosynthesis | p. 39 |
Membrane Vesicle-Mediated Hormone Export | p. 40 |
Hormone Export Not Mediated by Membrane Vesicles | p. 51 |
Metabolism, Transport, Elimination, & Regulation of Hormones | p. 56 |
Mechanisms of Hormone Action | p. 61 |
Receptors | p. 62 |
Neurotransmitter & Peptide Hormone Receptors | p. 63 |
G Protein-Coupled Receptors | p. 64 |
G Protein Transducers | p. 65 |
G Protein Disorders | p. 66 |
Effectors | p. 67 |
G Protein-Coupled Receptors & Human Disease | p. 68 |
Growth Factor Receptors | p. 70 |
Cytokine Receptors | p. 73 |
Guanylyl Cyclase-Linked Receptors | p. 73 |
Nuclear Action of Peptide Hormones | p. 74 |
Nuclear Receptors | p. 75 |
Steroid Receptor Family | p. 76 |
Thyroid Receptor Family | p. 77 |
Nongenomic Effects of the Steroid Hormones | p. 82 |
Steroid & Thyroid Hormone Receptor Resistance Syndromes | p. 83 |
Endocrine Autoimmunity | p. 85 |
Basic Immune Components & Mechanisms | p. 86 |
Immune Recognition & Response | p. 87 |
Tolerance | p. 90 |
Autoimmunity Is Multifactorial | p. 95 |
Genetic Factors in Autoimmunity | p. 95 |
Environmental Factors in Autoimmunity | p. 96 |
Single Gland Autoimmune Syndromes | p. 96 |
Autoimmune Aspects of Thyroid Disease | p. 97 |
Autoimmune Aspects of Type 1 Diabetes | p. 98 |
Autoimmune Aspects of Other Endocrinopathies | p. 100 |
Autoimmune Polyglandular Syndromes | p. 103 |
Autoimmune Polyglandular Syndrome I (APS-I) | p. 103 |
Autoimmune Polyglandular Syndrome II (APS-II) | p. 103 |
Management of Autoimmune Polyglandular Syndromes | p. 104 |
Hypothalamus & Pituitary Gland | p. 106 |
Hypothalamic Hormones | p. 111 |
Anterior Pituitary Hormones | p. 119 |
ACTH & Related Peptides | p. 119 |
Growth Hormone | p. 120 |
Prolactin | p. 125 |
Thyrotropin | p. 126 |
Gonadotropins: Luteinizing Hormone, Follicle-Stimulating Hormone | p. 128 |
Endocrinologic Evaluation of the Hypothalamic-Pituitary Axis | p. 129 |
Evaluation of ACTH | p. 129 |
Evaluation of Growth Hormone | p. 131 |
Evaluation of Prolactin | p. 132 |
Evaluation of TSH | p. 132 |
Evaluation of LH & FSH | p. 132 |
Problems in Evaluation of the Hypothalamic-Pituitary Axis | p. 133 |
Effects of Pharmacologic Agents on Hypothalamic-Pituitary Function | p. 133 |
Endocrine Tests of Hypothalamic-Pituitary Function | p. 133 |
Neuroradiologic Evaluation | p. 136 |
Pituitary & Hypothalamic Disorders | p. 136 |
Empty Sella Syndrome | p. 138 |
Hypothalamic Dysfunction | p. 139 |
Hypopituitarism | p. 140 |
Pituitary Adenomas | p. 147 |
Posterior Pituitary | p. 163 |
Antidiuretic Hormone (ADH; Vasopressin) | p. 163 |
Oxytocin | p. 164 |
Control of Water Balance | p. 164 |
Diabetes Insipidus | p. 167 |
Syndrome of Inappropriate Secretion of Antidiuretic Hormone (SIADH) | p. 170 |
Growth | p. 176 |
Normal Growth | p. 176 |
Intrauterine Growth | p. 176 |
The Placenta | p. 177 |
Classic Hormones of Growth & Fetal Growth | p. 177 |
Growth Factors & Oncogenes in Fetal Growth | p. 177 |
Insulin-Like Growth Factors, Receptors, & Binding Proteins | p. 177 |
Insulin | p. 178 |
Epidermal Growth Factor | p. 178 |
Fetal Origins of Adult Disease | p. 179 |
Postnatal Growth | p. 179 |
Measurement of Growth | p. 187 |
Skeletal (Bone) Age | p. 191 |
Disorders of Growth | p. 194 |
Short Stature Due to Nonendocrine Causes | p. 194 |
Short Stature Due to Endocrine Disorders | p. 198 |
The Diagnosis of Short Stature | p. 210 |
Tall Stature Due to Nonendocrine Causes | p. 211 |
Beckwith-Wiedemann Syndrome | p. 212 |
Tall Stature Due to Endocrine Disorders | p. 212 |
The Thyroid Gland | p. 215 |
Anatomy & Histology | p. 216 |
Physiology | p. 216 |
Structure of Thyroid Hormones | p. 216 |
Iodine Metabolism | p. 216 |
Thyroid Hormone Synthesis & Secretion | p. 219 |
Abnormalities in Thyroid Hormone Synthesis & Release | p. 224 |
Thyroid Hormone Transport | p. 225 |
Metabolism of Thyroid Hormones | p. 227 |
Control of Thyroid Function | p. 232 |
The Action of Thyroid Hormones | p. 238 |
Physiologic Changes in Thyroid Function | p. 241 |
Thyroid Autoimmunity | p. 243 |
Tests of Thyroid Function | p. 244 |
Tests of Thyroid Hormones in Blood | p. 244 |
Evaluation of the Hypothalamic-Pituitary-Thyroid Axis | p. 245 |
Iodine Metabolism & Biosynthetic Activity | p. 245 |
Thyroid Imaging | p. 247 |
Thyroid Ultrasonography or Magnetic Resonance Imaging | p. 248 |
Thyroid Biopsy | p. 249 |
Effects of Thyroid Hormones on Peripheral Tissues | p. 249 |
Measurement of Thyroid Autoantibodies | p. 250 |
Summary: Clinical Use of Thyroid Function Tests | p. 250 |
Disorders of the Thyroid | p. 251 |
Hypothyroidism | p. 251 |
Hyperthyroidism & Thyrotoxicosis | p. 260 |
Thyroid Hormone Resistance Syndromes | p. 272 |
Nontoxic Goiter | p. 273 |
Thyroiditis | p. 275 |
Effects of Ionizing Radiation on the Thyroid Gland | p. 278 |
Thyroid Nodules & Thyroid Cancer | p. 279 |
Metabolic Bone Disease | p. 295 |
Cellular & Extracellular Calcium Metabolism | p. 295 |
Parathyroid Hormone | p. 296 |
Calcitonin | p. 302 |
Vitamin D | p. 304 |
Integrated Control of Mineral Homeostasis | p. 311 |
Medullary Thyroid Carcinoma | p. 311 |
Hypercalcemia | p. 313 |
Disorders Causing Hypercalcemia | p. 314 |
Treatment of Hypercalcemia | p. 323 |
Hypocalcemia | p. 324 |
Causes of Hypocalcemia | p. 325 |
Treatment of Hypocalcemia | p. 329 |
Bone Anatomy & Remodeling | p. 330 |
Functions of Bone | p. 330 |
Structure of Bone | p. 330 |
Bone Remodeling | p. 332 |
Osteoporosis | p. 335 |
Treatment of Osteoporosis | p. 338 |
Nonpharmacologic Aspects of Osteoporosis Management | p. 343 |
Glucocorticoid-Induced Osteoporosis | p. 343 |
Osteomalacia & Rickets | p. 345 |
Nephrotic Syndrome | p. 348 |
Hepatic Osteodystrophy | p. 349 |
Drug-Induced Osteomalacia | p. 349 |
Hypophosphatemic Disorders | p. 349 |
Calcium Deficiency | p. 351 |
Primary Disorders of the Bone Matrix | p. 351 |
Inhibitors of Mineralization | p. 352 |
Paget's Disease of Bone (Osteitis Deformans) | p. 352 |
Renal Osteodystrophy | p. 357 |
Glucocorticoids & Adrenal Androgens | p. 362 |
Embryology & Anatomy | p. 363 |
Biosynthesis of Cortisol & Adrenal Androgens | p. 364 |
Circulation of Cortisol & Adrenal Androgens | p. 371 |
Metabolism of Cortisol & Adrenal Androgens | p. 371 |
Biologic Effects of Adrenal Steroids | p. 372 |
Glucocorticoids | p. 372 |
Adrenal Androgens | p. 380 |
Laboratory Evaluation | p. 380 |
Disorders of Adrenocortical Insufficiency | p. 384 |
Primary Adrenocortical Insufficiency (Addison's Disease) | p. 384 |
Secondary Adrenocortical Insufficiency | p. 389 |
Diagnosis of Adrenocortical Insufficiency | p. 390 |
Treatment of Adrenocortical Insufficiency | p. 393 |
Prognosis of Adrenocortical Insufficiency | p. 395 |
Cushing's Syndrome | p. 395 |
Hirsutism & Virilism | p. 408 |
Incidental Adrenal Mass | p. 408 |
Glucocorticoid Therapy for Nonendocrine Disorders | p. 410 |
Endocrine Hypertension | p. 414 |
Hypertension of Adrenal Origin | p. 414 |
Synthesis, Metabolism, & Action of Mineralocorticoid Hormones | p. 414 |
Pathogenesis of Mineralocorticoid Hypertension | p. 416 |
Aldosterone & the Heart | p. 417 |
Primary Aldosteronism | p. 417 |
Syndromes Due to Excess Deoxycorticosterone Production | p. 422 |
Cushing's Syndrome | p. 424 |
Pseudohyperaldosteronism | p. 425 |
Type II Pseudohypoaldosteronism (Arnold-Healy-Gordon Syndrome) | p. 427 |
Hypertension of Renal Origin | p. 428 |
The Renin-Angiotensin System | p. 428 |
The Renin-Angiotensin System & Hypertension | p. 431 |
Other Hormone Systems & Hypertension | p. 435 |
Insulin | p. 435 |
Natriuretic Peptides | p. 436 |
Endothelium-Derived Relaxing Factor | p. 436 |
Endothelin | p. 436 |
Kallikrein-Kinin System | p. 437 |
Other Hormones & Autacoids | p. 437 |
Sympathetic Nervous System | p. 437 |
Adrenal Medulla | p. 439 |
History | p. 439 |
Anatomy | p. 440 |
Hormones of the Adrenal Medulla | p. 441 |
Catecholamines | p. 441 |
Other Hormones | p. 451 |
Disorders of Adrenal Medullary Function | p. 451 |
Adrenal Medullary Hypofunction | p. 451 |
Adrenal Medullary Hyperfunction | p. 453 |
Pheochromocytoma | p. 453 |
Testes | p. 478 |
Anatomy & Structure-Function Relationships | p. 478 |
Testes | p. 478 |
Accessory Structures | p. 480 |
Physiology of the Male Reproductive System | p. 480 |
Gonadal Steroids | p. 480 |
Control of Testicular Function | p. 483 |
Evaluation of Male Gonadal Function | p. 484 |
Clinical Evaluation | p. 484 |
Laboratory Tests of Testicular Function | p. 486 |
Pharmacology of Drugs Used to Treat Male Gonadal Disorders | p. 488 |
Androgens | p. 489 |
Gonadotropins | p. 490 |
Gonadotropin-Releasing Hormone | p. 490 |
Clinical Male Gonadal Disorders | p. 490 |
Klinefelter's Syndrome (XXY Seminiferous Tubule Dysgenesis) | p. 491 |
Bilateral Anorchia (Vanishing Testes Syndrome) | p. 493 |
Cryptorchidism | p. 494 |
Noonan's Syndrome (Male Turner's Syndrome) | p. 496 |
Myotonic Dystrophy | p. 497 |
Adult Leydig Cell Failure (Andropause) | p. 499 |
Male Infertility | p. 500 |
Erectile Dysfunction (Impotence) | p. 502 |
Gynecomastia | p. 505 |
Testicular Tumors | p. 508 |
Female Reproductive Endocrinology & Infertility | p. 511 |
Embryology & Anatomy | p. 511 |
Ovarian Steroidogenesis | p. 514 |
Physiology of the Menstrual Cycle | p. 514 |
Menstrual Disturbances | p. 522 |
Hypothalamic Amenorrhea | p. 522 |
Pituitary Amenorrhea | p. 525 |
Ovarian Amenorrhea | p. 528 |
Adrenal Causes of Amenorrhea | p. 535 |
Outflow Tract Disorders | p. 538 |
Menopause | p. 539 |
Oocyte Depletion | p. 540 |
Endocrine System Changes with Aging | p. 541 |
Menopausal Consequences | p. 542 |
Infertility | p. 544 |
Diagnosis of Infertility | p. 545 |
Management of the Infertile Couple | p. 546 |
Contraception | p. 547 |
Oral Contraceptives | p. 548 |
Contraception: Long-Acting Contraceptives | p. 555 |
Emergency Contraception | p. 561 |
Abnormalities of Sexual Determination & Differentiation | p. 564 |
Normal Sex Differentiation | p. 564 |
Testicular & Ovarian Differentiation | p. 569 |
Psychosexual Differentiation | p. 576 |
Abnormal Sex Differentiation | p. 576 |
Seminiferous Tubule Dysgenesis: Chromatin-Positive Klinefelter's Syndrome & Its Variants | p. 576 |
Syndrome of Gonadal Dysgenesis: Turner's Syndrome & Its Variants | p. 579 |
True Hermaphroditism | p. 583 |
Female Pseudohermaphroditism | p. 584 |
P450 Aromatase Deficiency | p. 589 |
Maternal Androgens & Progestogens | p. 589 |
Male Pseudohermaphroditism | p. 589 |
Unclassified Forms of Abnormal Sexual Development in Males | p. 599 |
Unclassified Forms of Abnormal Sexual Development in Females | p. 601 |
Management of Patients with Intersex Problems | p. 601 |
Puberty | p. 608 |
Physiology of Puberty | p. 608 |
Delayed Puberty or Absent Puberty (Sexual Infantilism) | p. 617 |
Precocious Puberty (Sexual Precocity) | p. 628 |
The Endocrinology of Pregnancy | p. 637 |
Conception & Implantation | p. 637 |
Fetal-Placental-Decidual Unit | p. 638 |
Polypeptide Hormones | p. 641 |
Steroid Hormones | p. 642 |
Maternal Adaptation to Pregnancy | p. 643 |
Fetal Endocrinology | p. 647 |
Endocrine Control of Parturition | p. 649 |
Endocrinology of the Puerperium | p. 650 |
Endocrine Disorders & Pregnancy | p. 652 |
Pituitary Disorders | p. 652 |
Pregnancy & Breast Cancer | p. 653 |
Hypertensive Disorders of Pregnancy | p. 654 |
Hyperthyroidism in Pregnancy | p. 655 |
Hypothyroidism in Pregnancy | p. 656 |
Pancreatic Hormones & Diabetes Mellitus | p. 658 |
The Endocrine Pancreas | p. 658 |
Anatomy & Histology | p. 658 |
Hormones of the Endocrine Pancreas | p. 660 |
Diabetes Mellitus | p. 669 |
Classification | p. 669 |
Type 1 Diabetes Mellitus | p. 669 |
Type 2 Diabetes | p. 672 |
Other Specific Types of Diabetes | p. 675 |
Clinical Features of Diabetes Mellitus | p. 678 |
Type 1 Diabetes | p. 678 |
Type 2 Diabetes | p. 679 |
Urinalysis | p. 679 |
Blood Glucose Testing | p. 681 |
Serum Ketone Determinations | p. 682 |
Glycated Hemoglobin Assays | p. 682 |
Lipoproteins in Diabetes | p. 683 |
Diagnosis of Diabetes Mellitus | p. 683 |
Oral Glucose Tolerance Test | p. 684 |
Insulin Levels | p. 684 |
Intravenous Glucose Tolerance Test | p. 685 |
Treatment of Diabetes Mellitus | p. 689 |
Diet | p. 689 |
Oral Agents for the Treatment of Hyperglycemia | p. 690 |
Insulin | p. 698 |
Steps in the Management of the Diabetic Patient | p. 704 |
Acute Complications of Diabetes Mellitus | p. 711 |
Hypoglycemia | p. 711 |
Coma | p. 714 |
Chronic Complications of Diabetes Mellitus | p. 723 |
Specific Chronic Complications of Diabetes Mellitus | p. 725 |
Surgery in the Diabetic Patient | p. 732 |
Diabetics Regulated by Diet Alone | p. 732 |
Diabetics Taking Oral Hypoglycemic Agents | p. 732 |
Diabetics Taking Insulin | p. 732 |
Diabetes Mellitus & Pregnancy (by John L. Kitzmiller, MD) | p. 733 |
Prognosis for Patients with Diabetes Mellitus | p. 741 |
Hypoglycemic Disorders | p. 747 |
Pathophysiology of the Counterregulatory Response to Neuroglycopenia | p. 747 |
Classification of Hypoglycemic Disorders | p. 752 |
Clinical Presentation of Hypoglycemia | p. 753 |
Specific Hypoglycemic Disorders | p. 754 |
Symptomatic Fasting Hypoglycemia with Hyperinsulinism | p. 754 |
Symptomatic Fasting Hypoglycemia without Hyperinsulinism | p. 762 |
Nonfasting Hypoglycemia (Reactive Hypoglycemia) | p. 763 |
Disorders of Lipoprotein Metabolism | p. 766 |
Atherosclerosis | p. 766 |
Overview of Lipid Transport | p. 767 |
Differentiation of Disorders of Lipoprotein Metabolism | p. 771 |
Clinical Descriptions of Primary & Secondary Disorders of Lipoprotein Metabolism | p. 774 |
The Hypertriglyceridemias | p. 774 |
Primary Hypertriglyceridemia | p. 774 |
Secondary Hypertriglyceridemia | p. 778 |
The Primary Hypercholesterolemias | p. 780 |
Familial Hypercholesterolemia | p. 780 |
Familial Combined Hyperlipidemia | p. 781 |
LP(a) Hyperlipoproteinemia | p. 781 |
Familial Ligand-Defective APO B | p. 781 |
Cholesterol 7-[alpha]-Hydroxylase Deficiency | p. 781 |
Secondary Hypercholesterolemia | p. 782 |
Hypothyroidism | p. 782 |
Nephrosis | p. 782 |
Immunoglobulin Disorders | p. 782 |
Anorexia Nervosa | p. 782 |
Cholestasis | p. 782 |
The Primary Hypolipidemias | p. 783 |
Primary Hypolipidemia Due to Deficiency of High-Density Lipoproteins | p. 783 |
Primary Hypolipidemia Due to Deficiency of APO B-Containing Lipoproteins | p. 784 |
Secondary Hypolipidemia | p. 785 |
Other Disorders of Lipoprotein Metabolism | p. 785 |
The Lipodystrophies | p. 785 |
Rare Disorders | p. 786 |
Treatment of Hyperlipidemia | p. 787 |
Dietary Factors in the Management of Lipoprotein Disorders | p. 787 |
Drugs Used in Treatment of Hyperlipoproteinemia | p. 789 |
Bile Acid Sequestrants | p. 789 |
Niacin (Nicotinic Acid) | p. 789 |
Fibric Acid Derivatives | p. 790 |
HMG-CoA Reductase Inhibitors | p. 790 |
Combined Drug Therapy | p. 791 |
Possible Untoward Consequences of Lipid-Lowering Therapy | p. 792 |
Obesity & Overweight | p. 794 |
Controversies & Uncertainties Regarding the Pathogenesis of Obesity | p. 804 |
Survey of Treatment Approaches & Their Efficacy | p. 806 |
Dietary Therapies | p. 806 |
Surgical Treatment of Obesity | p. 807 |
Pharmacologic Therapies | p. 807 |
Other Conditions Affected by Treatment of Obesity or Overweight | p. 810 |
Type 2 Diabetes Mellitus | p. 810 |
Hyperlipidemia | p. 812 |
Polycystic Ovarian Syndrome | p. 812 |
Hypertension | p. 812 |
Gallstones | p. 812 |
Osteoarthritis & Other Weight-Sensitive States | p. 812 |
A Systematic Approach to the Treatment of Obesity | p. 813 |
Humoral Manifestations of Malignancy | p. 814 |
Ectopic Hormone & Receptor Syndromes | p. 814 |
Hypercalcemia of Malignancy | p. 815 |
Ectopic Cushing's Syndrome | p. 819 |
Syndrome of Inappropriate ADH (SIADH) Secretion | p. 822 |
Non-Islet Cell Tumors & Hypoglycemia | p. 823 |
Other Hormones Secreted by Tumors | p. 824 |
Oncogenic Osteomalacia | p. 825 |
Gut Hormones | p. 826 |
Multiple Endocrine Neoplasia | p. 829 |
Multiple Endocrine Neoplasia Type 1 (MEN 1) | p. 829 |
Multiple Endocrine Neoplasia Type 2 (MEN 2) | p. 834 |
Other Disorders Characterized by Multiple Endocrine Organ Involvement | p. 840 |
Geriatric Endocrinology | p. 842 |
Thyroid Function & Disease | p. 842 |
Disorders of the Thyroid Gland | p. 843 |
Carbohydrate Intolerance & Diabetes Mellitus | p. 847 |
Aging & the Physiology of Carbohydrate Intolerance | p. 847 |
Diabetes Mellitus | p. 847 |
Nonketotic Hyperosmolar Coma | p. 849 |
Osteoporosis & Calcium Homeostasis | p. 850 |
Osteoporosis | p. 850 |
Hyperparathyroidism | p. 858 |
Changes in Water Balance | p. 858 |
Hypernatremia | p. 859 |
Hyponatremia | p. 859 |
Hyporeninemic Hypoaldosteronism | p. 859 |
Glucocorticoids & Stress | p. 859 |
Disorders of the Hypothalamic-Pituitary-Adrenal Axis | p. 860 |
Changes in Reproductive Function in Men | p. 861 |
Benign Prostatic Hyperplasia | p. 862 |
Endocrine Emergencies | p. 867 |
Myxedema Coma | p. 867 |
Thyroid Storm | p. 869 |
Thyrotoxic Periodic Paralysis | p. 870 |
Amiodarone Induced Thyrotoxicosis | p. 871 |
Acute Adrenal Insufficiency | p. 872 |
Pituitary Apoplexy | p. 873 |
Diabetic Ketoacidosis | p. 873 |
Nonketotic Hyperosmolar Coma | p. 878 |
Hypercalcemic Crisis | p. 880 |
Acute Hypocalcemia | p. 882 |
Hyponatremia | p. 885 |
Diabetes Insipidus | p. 888 |
AIDS Endocrinopathies | p. 893 |
Thyroid Disorders | p. 893 |
Adrenal Disorders | p. 895 |
Bone & Mineral Disorders | p. 897 |
Gonadal Disorders | p. 897 |
Pituitary Disorders | p. 898 |
Pancreatic Disorders | p. 898 |
Lipid Disorders | p. 899 |
Conclusion | p. 900 |
Endocrine Surgery | p. 902 |
Introduction | p. 902 |
The Thyroid Gland | p. 902 |
Developmental Thyroid Abnormalities | p. 902 |
Hyperthyroidism | p. 903 |
Thyroiditis | p. 904 |
Nodular Goiter | p. 904 |
Thyroid Nodules | p. 904 |
Thyroid Cancer | p. 904 |
Conduct of Thyroidectomy | p. 906 |
The Parathyroid Gland | p. 908 |
Primary Hyperparathyroidism | p. 908 |
Persistent & Recurrent Primary Hyperparathyroidism | p. 910 |
Secondary Hyperparathyroidism | p. 911 |
Special Consideration: Familial Hyperparathyroidism | p. 911 |
Complications of Parathyroid Surgery | p. 911 |
The Adrenal (Suprarenal) Gland | p. 911 |
Primary Hyperaldosteronism | p. 911 |
Hypercortisolism | p. 912 |
Sex Steroid Excess | p. 912 |
Pheochromocytoma | p. 913 |
Adrenal Cortical Carcinoma | p. 913 |
Adrenal Incidentaloma | p. 913 |
Technique of Adrenalectomy | p. 914 |
The Endocrine Pancreas | p. 914 |
Insulinoma | p. 915 |
Gastrinoma (Zollinger-Ellison Syndrome) | p. 916 |
Vipoma (Verner-Morrison) Syndrome | p. 917 |
Glucagonoma | p. 917 |
Somatostatinoma | p. 917 |
Nonfunctioning Pancreatic Tumors | p. 917 |
Normal Hormone Reference Ranges | p. 920 |
Index | p. 939 |
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