Endocrine Clinics

A wide range of endocrine and metabolic conditions are seen, including:

• Thyroid disease – thyrotoxicosis, complicated hypothyroidism, unexplained abnormal thyroid function tests, thyroid goitres & nodules if abnormal thyroid function.
• Calcium disorders and metabolic bone disease (other than osteoporosis).
• Vitamin D deficiency.
• Fluid balance & electrolyte disturbances (excluding renal failure): polyuria/polydipsia (not in diabetes), hyper/hypokalaemia, hyper/hyponatraemia, hypomagnasaemia.
• Polycystic ovary syndrome, oligo-amenorrhea, hirsutism, virilisation, male & female hypogonadism, gynaecomastia, galactorrhea, delayed puberty from age 16years and older,
  growth problems – short or tall stature.
• Pituitary disease: pituitary tumour, hypopituitarism, Cushing’s disease, acromegaly, prolactinoma, hyperprolactinaemia.
• Endocrine hypertension: mineralocorticoid hypertension, Conn’s sysndrome, phaeochromocytoma.
• Adrenal disease: Cushing’s syndrome, adrenal tumour / incidentaloma, hypoadrenalism, Addison’s disease.
• Hypoglycaemia not in diabetes.
• Sweating, flushing, turns suspected of having an endocrine cause.
• Multiple endocrine neoplasia.

The Endocrine Service works closely with a number of other specialties to provide a multi-disciplinary service for relevant patients with specialist endocrine conditions:

• Joint pituitary clinic, held fortnightly with pituitary neurosurgeons, for review of patients who may need pituitary surgery.
• Joint thyroid/ parathyroid clinic, held fortnightly with endocrine surgeons, for review of complex patients with thyroid or parathyroid problems.
• Diabetes/ endocrine antenatal clinic, held weekly with obstetricians, for review of pregnant women with endocrine (and diabetes) problems that require joint assessment.
• Joint adrenal clinic, held weekly with urological surgeons who provide adrenal surgery, for review of patients with adrenal disease who may require surgery.
• Endocrinology/ chemical pathology MDT (monthly), to discuss complex endocrine investigations and difficult to interpret endocrine tests
• A full range of dynamic endocrine tests are performed on the Medical Day Care unit.