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AuthorMacLennan, W. J. author
TitleMetabolic and Endocrine Problems in the Elderly [electronic resource] / by W. J. MacLennan, N. R. Peden
ImprintLondon : Springer London, 1989
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Descript V, 205 p. online resource


Illness in old age is characterised by vague and atypical presenting features which are often missed and wrongly attributed to the ageing process. This is particularly true of endocrine disorders where hypothyroidism may masยญ querade as dementia, where electrolyte imbalance may cause lassitude, and where diabetes mellitus may produce a wide range of complications comยญ monly associated with ageing. It is our intention that our book provide straightforward practical guidance in this difficult area by delineating the effects of ageing on endocrine function and the clinical consequences of these; and by describing in detail the wide range of presenting clinical feaยญ tures of endocrine disease in the elderly. Physicians are also often baffled and misled by the effects of ageing and disease on laboratory tests used in the investigation of endocrine disease. Our book describes these changes in detail, and gives guidance on which tests are most appropriate. Ageing and disease also produce subtle changes in the response of patients to drugs and replacement, and this is also disยญ cussed in detail. Subjects included separately and in depth include thyroid disease, the clinical features and treatment of diabetes, postmenopausal changes, bone disease, fluid and electrolyte imbalance, energy imbalance, and drugs causยญ ing endocrine and metabolic disorders. These have been chosen because we consider that they present problems which are particularly relevant to the elderly. Many other issues are covered in general textbooks of endocrinยญ ology and have been omitted


1 Ageing and Endocrine Function -- 2 The Clinical Assessment of Endocrine Disorders in the Elderly -- 3 Thyroid Disease -- 4 Diabetes Mellitus: Clinical Aspects -- 5 Diabetes Mellitus: Management -- 6 Gonadal and Sexual Function -- 7 Bone Disease and Disorders of Calcium Homeostasis -- 8 Pituitary and Adrenal Disorders -- 9 Fluid and Electrolyte Imbalance -- 10 Body Build and Nutritional Balance -- 11 Endocrine and Metabolic Effects of Drugs and Hormonal/ Endocrine Manipulation of Non-endocrine Diseases -- 12 Investigation of Endocrine Disease

Medicine General practice (Medicine) Metabolic diseases Medicine & Public Health Metabolic Diseases General Practice / Family Medicine


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