PATIENT INFORMATION

Please feel free to access the following patient information to support your consultation.

Thyroid Disease

Thyroid function tests - patient information from the British Thyroid Foundation (BTF)

Hyperthyroidism - patient information from the BTF

Hypothyroidism - patient information from the BTF

Thyroiditis - patient information from the BTF

Goitre - information from Dr Philip Kelly

Thyroid eye disease - patient information from the Thyroid Eye Disease Association

Management of primary hypothyroidism: statement by the British Thyroid Association

Nuclear Medicine Thyroid Scan and Breastfeeding - advice

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Pituitary Disease

The Pituitary Foundation has a very good website, full of helpful resources for patients/ family members and non-specialist heathcare providers:

Acromegaly - this can develop very insidiously, over decades in some patients, the symptoms can be very vague especially at first.

Adult Growth Hormone Deficiency - this is usually due to damage to the pituitary and/or the hypothalamus

Cushing's - Cushing's syndrome is most commonly due to prescribed or over the counter steroid containing medicines or products, Cushing's disease is caused by a pituitary tumour secreting ACTH. It can be a very very difficult condition to diagnose and to localise the precise cause even for endocrinologists.

Diabetes Insipidus - (DI) this can be difficult to diagnose, especially when it is not severe, and it might require a supervised water deprivation test in hospital, this is a specialist area even within endocrinology. It is critical to differentiate cranial DI, which will respond to DDAVP, from nephrogenic DI, which does not. Lastly a very similar clinical picture can occur from drinking too much, primary polydipsia - which some call dipsogenic DI

Non-functioning tumour 

Prolactinoma/ lactotroph adenoma - a common clinical problem, presenting with menstrual irregularities, infertility in men or women, or breast milk - most commonly in women, It is important to consider prolactin elevation in patients who might have polycystic ovarian syndrome (PCOs). The usual treatment is a dopamine agonist, such as cabergoline.

Empty Sella Syndrome  

Rathke's Cleft Cyst 

Craniopharyngioma - these are very rare tumours, half occuring in childhood

Pituitary Apoplexy 

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Parathyroid Disease

Primary hyperparathyroidism - patient and doctor information

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Polycystic Ovarian Syndrome (PCOS)

PCOS - patient and doctor information

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Venous Thromboembolism (VTE)

Pulmonary Embolism (PE)

Deep Venous Thrombosis (DVT)

PE & Chronic Thromboembolic Pulmonary Hypertension (CTEPH) - patient and doctor information