The largest organisation of endocrine professionals in India
Feb 8, 2023 • 11 tweets • 3 min read
PCOS - finding the root cause is everything. A thread
A 28 year old woman with BMI 22 kg/m2 was referred in view of irregular cycles. The patient had attained menarche at the age of 14 years. She had regular cycles initially. Since the past 6 years, her cycles were irregular.
She had cycles once in 3-4 months. She had also noticed thick terminal hair on her face and upper chest. Her physician had suspected PCOS ( polycystic ovarian syndrome). Ultrasound abdomen confirmed the diagnosis of PCOS. She was then started on oral contraceptive pills
Feb 1, 2023 • 8 tweets • 2 min read
Tracking a mystery to the pituitary gland. A thread
A 58 year old woman presented with vomiting and altered sensorium. Her sodium on presentation elsewhere was 102. She was diagnosed with hypovolemic hyponatremia.
She was rehydrated and discharged when sodium normalised. 3 months later, she presented again with hyponatremia and altered sensorium. Na - 103. TSH was 2 ( normal). Since the TSH was normal, pituitary pathology was ruled out and she was treated as SIADH.
