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http://www.endotext.org/

 

I ran across this today and thought I'd share.

This is a new site with contributions by top docs in the field of endocrinology. Some of the links are not up and running yet... but check back as they will be. There is already lots of great information.

 

The site was started 6/11/2002... ok...I'm slacking geez.... lmao

 

Here are the sections:

 

Neuroendocrinology and pituitary disease Michael Besser

Carbohydrate metabolism and diabetes mellitus Ira Goldfine ?and Robert J Rushakoff

Endocrinology of the male ?Robert McLachlan

Endocrinology of the female ?Robert Rebar

Thyroid - www.thyroidmanager.org ?Leslie J De Groot

Adrenal function and disease George Chrousos

Parathyroid and bone disease Andrew Arnold

Diffuse hormonal systems and Endocrine Tumor Syndromes ?

Aaron Vinik

Pediatric Endocrinology Maria New

Obesity and Nutrition Jose Caro

Endocrinology of Aging Marc Blackman

Endocrine disease and pregnancy Gerard Burrow

Endocrine Testing Protocols

 

I selected Neuroendocrine and pituitary disease and this next menu came up:

1 Normal and Abnormal Physiology of the Hypothalamus and Anterior Pituitary Prof A. B. Grossman

2 Normal and Abnormal Physiology of the Hypothalamus - Posterior Pituitary (Including DI and SIADH) Prof P H Baylis and Dr S G Ball

3 Pituitary Histopathology In Man: Normal And Abnormal Sylvia L. Asa, M.D., Ph.D.

4 Radiology of the Hypothalamus and Pituitary Victor Haughton, MD and Todd Peebles, MD

5a Normal Physiology of Growth Hormone and Growth ?in Childhood Dr CCamacho-Hubner ?

5b Disorders of Growth Hormone in Childhood Prof M O ?Savage ?and Dr CCamacho-Hubner ?

5c Normal Physiology of Growth Hormone in Adults Prof Jens Sandahl Christiansen

5d Adult Growth Hormone Deficiency Prof. John P Monson

5e Acromegaly and Giantism Dr.P.J. Jenkins

6 Prolactin Disorders Michael O Thorner, MD

7 Pituitary Dependent Cushing's Disease/Ectopic ACTH Syndrome Prof A. B. Grossman

8 GNRH and Gonadotrophins: Gonadotroph Adenomas Alan ?C Dalkin, MD

9 TSH: Control of Thyroid Function Prof Stephano Mariotti ?

10 Thyrotropin-Secreting Pituitary Adenomas Paulo Beck-Peccoz, MD and Luca Persani, MD, PhD

11 Pituitary-Hypothalamic Tumor Syndromes: Children Dr Richard Stanhope

11b Pituitary-Hypothalamic Tumor Syndromes; Adults Prof Klaus von Werder

12 Hypopituitarism Prof. John P Monson

13 Surgical Management of Pituitary Adenomas Profs Edward Laws and John Jane

14 Treatment of Pituitary Syndromes by Radiotherapy Prof Nick Plowman

15 The Pineal Gland and Pineal Tumours Prof Josephine Arendt

 

Check it out!

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Here is a brand new article on Cushings from Endotext.

 

CUSHING'S SYNDROME

Chapter 7 - Damian G. Morris and Ashley B. Grossman

December 6, 2002

 

INTRODUCTION

Cushing's Syndrome results from chronic exposure to excessive levels of glucocorticoids: its investigation and management remains an on-going challenge in clinical endocrinology. Although the condition is considered rare, the clinical spectrum of the disease is broad, and its investigation is frequently required given the high prevalence of many of its non-specific symptoms such as obesity, muscle weakness and depression. Clinicians are now considering the diagnosis in its earlier manifestations, often before the development of the more classic signs and symptoms as described by Harvey Cushing early in the last century. In its severe form and when untreated, the metabolic upset of Cushing's syndrome is associated with a high mortality, approximately 50% at five years (1) . However, more subtle excesses of cortisol may have significant effects on glycaemic control and blood pressure, and may therefore be an important cause of morbidity.

 

 

http://www.endotext.org/neuroendo/neuroend...oendoframe7.htm

 

TOC:

 

INTRODUCTION

PATHOPHYSIOLOGY & ETIOLOGY

CLINICAL FEATURES

BIOCHEMICAL CONFIRMATION OF CUSHING'S SYNDROME  

Circadian rhythm assessment

Urinary free cortisol

Low-dose dexamethasone suppression test

Other tests

THE DIFFERENTIAL DIAGNOSIS OF CUSHING'S SYNDROME

IDENTIFYING THE SOURCE IN ACTH-DEPENDENT CUSHING'S SYNDROME

Non-dynamic tests

Dynamic tests

High dose dexamethasone suppression test

The metyrapone test

The CRH test

Testing with other peptides

Inferior petrosal sinus sampling

IMAGING

Pituitary

Adrenal

Ectopic tumors

TREATMENT OF CUSHING'S SYNDROME

Surgical Management

Transphenoidal surgery

Adrenalectomy

Surgery for the ectopic ACTH syndrome

Radiotherapy

Pituitary

Other Tumors

Medical Management

Adrenolytic Therapy

Neuromodulatory agents

5-HT Antagonists

Dopamine Agonists  

Bromocriptine

Somatostatin Analogues

GABA Agonists

Glucocorticoid Antagonists

Monitoring Treatment

Future Strategies for medical agents

CONCLUSIONS

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Thanks for the info. Kristy.  I was reading about the cushings syndrome and then saw you posted it.  I'm going to look for something to send to the Family Circle magazine to give them more info. on cushings.  We all need to educate, educate and educate the public, doctor's, everyone so people get diagnosed and treated earlier.  That's my goal.  Thanks again for your info.  Val

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