Endocrinology represents a branch of medicine concerned with the structure, function, and disorders of the endocrine glands.
This medical specialty deals with the diagnosis and treatment of diseases that affect the endocrine system.
Within this medical specialty are investigated thyroid diseases, pituitary, adrenal, gonadal and metabolic disorders (osteoporosis, osteomalacia, etc.).
Endocrine disorders are complex and require specific laboratory analyzes (hormonal and fertility determinations) and multiple radiological investigations for accuracy and early diagnosis.
Some endocrine disorders can be diagnosed in the subclinical phase and this fact is beneficial because early diagnosis prevents progression to manifest disease and complications.
Subclinical thyroid disease is common and its frequency increases with age. This has bad consequences on the cardiovascular system and mental function, if it remains undiagnosed.
The Department of Endocrinology at the AIS Medical Center provides the following specialized assessments:
- Clinical examination (at tht first consultation with the endocrinologist):
- Collecting the anamnesis (disease history), patient interrogation;
- Performs examination and palpation of the thyroid and lymphatic gland, also it is possible to examine genitals;
- Measures arterial pressure, listens the heartbeats.
- Assessment of the general condition of the patient – evaluation of the signs for:
- Thyroid gland
- Pineal gland
- Pituitary gland
- Adrenal glands
Formulation of a diagnosis plan and choice of therapy appropriate to the present condition.
- Calcium metabolism disorder – low or elevated serum calcium;
- Goiter – increased thyroid gland because of iodine deficiency;
- Autoimmune thyroiditis – autoimmune thyroid inflammation;
- Diabetes insipidus – dysfunction of the hypothalamus or pituitary gland, accompanied by thirst;
- Acromegaly – excessive growth hormone;
- Cushing disease – condition in which the pituitary gland releases too much adrenocorticotropic hormone (ACTH);
- Disorders caused by endocrine abnormalities: osteoporosis, obesity, sexual dysfunction, muscle weakness, neuropsychiatric abnormalities.
3. Paraclinical examination:
- blood analysis (biochemistry, hematology, immunology, electrolytes hormonal dosing, etc.);
- urine analysis;
- imaging: radiography, MRI, CT, thyroid ultrasound, osteodensitometry;
4. The basic principles of therapy will be:·
- Treating the primary illness, if it has been identified;·
- Careful observation of signs and symptoms, respectively their treatment;·
- Supportive treatment;·
- Using anti-inflammatory drugs when needed;·
- Antibiotic therapy when required.
5. Patients are referred to other medical specialties for health assessment.
6. Endocrine disorders are chronic conditions and require permanent monitoring with the return for periodic control (adjustment, treatment modification).