Approach to the Patient with Hyperthyroidism David M. Slovik Hyperthyroidism is the clinical expression of a heterogeneous group of disorders that produce excess of free thyroxine (T4), triiodothyronine (T3), or…
Approach to the Patient with Diabetes Mellitus David M. Slovik Diabetes mellitus is the most prevalent endocrinologic problem encountered in primary care practice. It is a condition of emerging epidemic…
Evaluation of Suspected Diabetes Insipidus David M. Slovik When a patient presents with polyuria and polydipsia, the primary care physician needs to keep in mind the possibility of diabetes insipidus…
Evaluation of Galactorrhea and Hyperprolactinemia David M. Slovik Discharge of milk or colostrum from the breast in the absence of nursing is referred to as galactorrhea. When it is accompanied…
Evaluation of Gynecomastia David M. Slovik Gynecomastia is a benign proliferation of the glandular tissue of the male breast. It is to be distinguished from pseudogynecomastia with fat deposition but…
Evaluation of Hirsutism David M. Slovik Hirsutism is the development in women of excessive androgendependent terminal body hair in a male pattern. It is present in 5% to 10% of…
Evaluation of Hypoglycemia David M. Slovik “Hypoglycemia” is a term commonly used by patients to describe nonspecific symptoms they attribute to having a “low blood sugar” (e.g., irritability, fatigue, sweats,…
Approach to the Patient with Hypercalcemia David M. Slovik The advent of automated laboratory screening has led to an increased recognition of asymptomatic persons with hypercalcemia, with an estimated annual…
Evaluation of Thyroid Nodules David M. Slovik Thyroid nodules are extremely common, both clinically and on imaging studies of the neck. A palpable thyroid nodule can be detected in 4%…
Screening for Thyroid Cancer Cancer of the thyroid is a relatively rare disease with a low mortality rate. It accounts for 1% of all new malignant disease and only 0.2%…
