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Journal articles on the topic 'Endocrine emergencies'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

Reasner, Charles A., and William L. Isley. "Endocrine emergencies." Postgraduate Medicine 101, no. 3 (1997): 231–42. http://dx.doi.org/10.3810/pgm.1997.03.185.

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2

Newell-Price, John, and Anthony P. Weetman. "Endocrine emergencies." Acute Medicine Journal 1, no. 2 (2002): 4–8. http://dx.doi.org/10.52964/amja.0006.

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Endocrine emergencies are uncommon and require a high index of suspicion if they are to be managed appropriately. This is especially pertinent to physicians accepting emergency admissions to hospital. Treatment needs to be started prior to diagnostic confirmation. We outline the management of the following conditions that may present acutely: Thyroid emergencies – Myxoedema coma – Thyroid Storm Pituitary apoplexy Phaeochromocytoma crisis Acute adrenocortical insufficiency.

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3

KS, Shyam. "Endocrine emergencies." Journal of Medical and Scientific Research 1, no. 2 (2013): 88–94. http://dx.doi.org/10.17727/jmsr.2013/1-016.

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4

Bell, Ricky, David Fox, and Paul Grant. "Endocrine Emergencies." InnovAiT: Education and inspiration for general practice 4, no. 12 (2011): 712–18. http://dx.doi.org/10.1093/innovait/inr179.

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Endocrine emergencies are rare in general practice but it is important that GPs know the key aspects of diagnosis and management which may be life saving. Diabetic emergencies are the most common and can present acutely and unexpectedly. Disorders of the hypothalamic pituitary axis are much less frequent so can be harder to diagnose. It is vital for a GP to recognize the key signs of endocrine disorders, initiate appropriate management and arrange timely referral.

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5

Savage, M. W. "Endocrine emergencies." Postgraduate Medical Journal 80, no. 947 (2004): 506–15. http://dx.doi.org/10.1136/pgmj.2003.013474.

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6

Furman, William R. "Endocrine Emergencies." ASA Refresher Courses in Anesthesiology 37, no. 1 (2009): 69–80. http://dx.doi.org/10.1097/asa.0b013e3181a68ce8.

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7

Mishra, Apurva, and Marc Quinn. "Endocrine emergencies." InnovAiT: Education and inspiration for general practice 13, no. 3 (2020): 165–72. http://dx.doi.org/10.1177/1755738019891193.

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Endocrine emergencies represent a small group of conditions, where the presentation is related to either a relative lack or excess of hormones. They may present with non-specific features, which can make them difficult to diagnose. Endocrine emergencies are commonly treated in a hospital setting. Having a high degree of suspicion and awareness of the presentation can lead to early diagnosis and prompt management. This article focuses on the epidemiology, common presentation, risk factors, investigation and management of diabetic ketoacidosis, hyperosmolar hyperglycaemic state, hypoglycaemia, t

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8

Bagdade, John D. "Endocrine Emergencies." Medical Clinics of North America 70, no. 5 (1986): 1111–28. http://dx.doi.org/10.1016/s0025-7125(16)30915-4.

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9

Sullivan, Scott A., and Christopher Goodier. "Endocrine Emergencies." Obstetrics and Gynecology Clinics of North America 40, no. 1 (2013): 121–35. http://dx.doi.org/10.1016/j.ogc.2012.12.001.

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10

DeBoer, Scott, and Michael Seaver. "Endocrine Emergencies." Journal of Emergency Nursing 37, no. 3 (2011): 261–62. http://dx.doi.org/10.1016/j.jen.2010.11.016.

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11

Park, Elizabeth, Nadia M. Pearson, M. Tyson Pillow, and Alexander Toledo. "Neonatal Endocrine Emergencies." Emergency Medicine Clinics of North America 32, no. 2 (2014): 421–35. http://dx.doi.org/10.1016/j.emc.2014.01.003.

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12

Miller, Myron, and Gabriel C. Gold. "Acute Endocrine Emergencies." Clinics in Geriatric Medicine 10, no. 1 (1994): 161–84. http://dx.doi.org/10.1016/s0749-0690(18)30365-3.

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13

Zimmerman, Donald. "Pediatric Endocrine Emergencies." Clinical Pediatric Emergency Medicine 10, no. 4 (2009): 245. http://dx.doi.org/10.1016/j.cpem.2009.11.003.

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14

Fernandez-Robles, Claudia, Zyad J. Carr, and Adriana D. Oprea. "Endocrine emergencies in anesthesia." Current Opinion in Anaesthesiology 34, no. 3 (2021): 326–34. http://dx.doi.org/10.1097/aco.0000000000000986.

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15

Hamidi, Odessa P., and Linda A. Barbour. "Endocrine Emergencies During Pregnancy." Obstetrics and Gynecology Clinics of North America 49, no. 3 (2022): 473–89. http://dx.doi.org/10.1016/j.ogc.2022.02.003.

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16

Itoh, Hiroshi, and Kenichi Yokota. "Endocrine and Metabolic Emergencies." Nihon Naika Gakkai Zasshi 105, no. 4 (2016): 637–39. http://dx.doi.org/10.2169/naika.105.637.

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17

Chernow, Bart, and Gary P. Zaloga. "Metabolic and Endocrine Emergencies." Critical Care Medicine 13, no. 2 (1985): 140. http://dx.doi.org/10.1097/00003246-198502000-00028.

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18

Kearney, T., and C. Dang. "Diabetic and endocrine emergencies." Postgraduate Medical Journal 83, no. 976 (2007): 79–86. http://dx.doi.org/10.1136/pgmj.2006.049445.

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19

GOODIER, CHRISTOPHER G. "Endocrine Emergencies in Obstetrics." Clinical Obstetrics and Gynecology 62, no. 2 (2019): 339–46. http://dx.doi.org/10.1097/grf.0000000000000433.

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20

Wagner, Mary Jo, and Kathleen Cowling. "Endocrine and Metabolic Emergencies." Emergency Medicine Clinics of North America 23, no. 3 (2005): xv—xvi. http://dx.doi.org/10.1016/j.emc.2005.03.008.

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21

Willis, George C., and M. Tyson Pillow. "Endocrine and Metabolic Emergencies." Emergency Medicine Clinics of North America 32, no. 2 (2014): xvii—xviii. http://dx.doi.org/10.1016/j.emc.2014.03.001.

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22

Peramunage, Dasun, and Sara Nikravan. "Anesthesia for Endocrine Emergencies." Anesthesiology Clinics 38, no. 1 (2020): 149–63. http://dx.doi.org/10.1016/j.anclin.2019.10.006.

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23

Khoo, Chin Meng, and Kok Onn Lee. "Endocrine emergencies in pregnancy." Best Practice & Research Clinical Obstetrics & Gynaecology 27, no. 6 (2013): 885–91. http://dx.doi.org/10.1016/j.bpobgyn.2013.08.005.

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24

Rosival, Viktor. "Endocrine emergencies in pregnancy." Best Practice & Research Clinical Obstetrics & Gynaecology 28, no. 3 (2014): e1. http://dx.doi.org/10.1016/j.bpobgyn.2014.01.004.

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25

Willis, George, and Bennett A. Myers. "Endocrine And Metabolic Emergencies." Emergency Medicine Clinics of North America 41, no. 4 (2023): i. http://dx.doi.org/10.1016/s0733-8627(23)00083-4.

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26

Carroll, Richard, and Glenn Matfin. "Endocrine and metabolic emergencies: hypocalcaemia." Therapeutic Advances in Endocrinology and Metabolism 1, no. 1 (2010): 29–33. http://dx.doi.org/10.1177/2042018810366494.

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27

Mukherjee, Elora, Richard Carroll, and Glenn Matfin. "Endocrine and metabolic emergencies: hypoglycaemia." Therapeutic Advances in Endocrinology and Metabolism 2, no. 2 (2011): 81–93. http://dx.doi.org/10.1177/2042018811401644.

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28

Halloran, Teresa Heise. "Nursing responsibilities in endocrine emergencies." Critical Care Nursing Quarterly 13, no. 3 (1990): 74–81. http://dx.doi.org/10.1097/00002727-199011000-00012.

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29

Ishii, Makoto. "Endocrine Emergencies With Neurologic Manifestations." CONTINUUM: Lifelong Learning in Neurology 23, no. 3 (2017): 778–801. http://dx.doi.org/10.1212/con.0000000000000467.

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30

Molitch, Mark E. "10 Endocrine emergencies in pregnancy." Baillière's Clinical Endocrinology and Metabolism 6, no. 1 (1992): 167–91. http://dx.doi.org/10.1016/s0950-351x(05)80337-4.

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31

Chernow, Bart. "Perioperative endocrine and electrolyte emergencies." Canadian Journal of Anaesthesia 37, S1 (1990): Slxxi—Slxxvi. http://dx.doi.org/10.1007/bf03006276.

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32

Anton-Paduraru, Dana-Teodora. "METABOLIC EMERGENCIES – PART I." Romanian Journal of Pediatrics 64, no. 1 (2015): 5–9. http://dx.doi.org/10.37897/rjp.2015.1.1.

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Often, patients with metabolic conditions (diseases caused by electrolytic unbalances, endocrine dysfunctions, inborn errors of metabolism) have symptoms similar to other emergencies, particularly as newborns and infants. The authors present the main emergencies: electrolytic unbalances – hypoglycemia, hyponatremia, metabolic acidosis and neonatal hypocalcemia; endocrine dysfunctions – suprarenal insufficiency and neonatal hypopituitarism; inborn metabolic diseases – acidosis, hyperglycemia/ hypoglycemia, hyperammoniemia, clinical symptoms associated to them, and recommended treatment.

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33

Kerr, Deborah Elizabeth, Tim Wenham, and John Newell-Price. "Endocrine problems in the critically ill 2: endocrine emergencies." BJA Education 17, no. 11 (2017): 377–82. http://dx.doi.org/10.1093/bjaed/mkx023.

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34

Sanjay Kalra, Shinjan Patra, Parth Jethwani, and Nitin Kapoor. "Endocrine Emergency and Urgency Defined." Journal of the Pakistan Medical Association 75, no. 05 (2025): 823–26. https://doi.org/10.47391/jpma.25-35.

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Endocrine emergencies traditionally focus on life-threatening conditions like diabetic ketoacidosis, thyroid storm, adrenal crisis, or severe hypoglycaemia. However,less recognised endocrine conditions also demand immediate attention due to their potential to disrupt the quality of life and result in downstream complications if not timely intervened. This perspective explores unconventional endocrine emergencies such as short stature, pituitary adenomas, infertility, polycystic ovary syndrome, diabetes and hypothyroidism in pregnancy, and low bone mass and osteoporosis. We propose a broader de

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35

Carroll, Richard, and Glenn Matfin. "Review: Endocrine and metabolic emergencies: hypercalcaemia." Therapeutic Advances in Endocrinology and Metabolism 1, no. 5 (2010): 225–34. http://dx.doi.org/10.1177/2042018810390260.

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36

Abdel Kerim, Yasser. "AKT question relating to endocrine emergencies." InnovAiT: Education and inspiration for general practice 13, no. 3 (2020): 151. http://dx.doi.org/10.1177/1755738019899282.

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37

Oberlin, John M., William M. Rogers, and Cydney L. Fenton. "Endocrine Emergencies: Recognizing Signs and Symptoms." Pediatric Annals 34, no. 11 (2005): 870–77. http://dx.doi.org/10.3928/0090-4481-20051101-10.

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38

Ziss, Robert C. "PROBLEMS IN CRITICAL CARE: ENDOCRINE EMERGENCIES." Chest 100, no. 6 (1991): 24–25. http://dx.doi.org/10.1016/s0012-3692(16)52770-6.

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39

Czernichow, P., and P. C. Sizonenko. "11 Paediatric endocrine and metabolic emergencies." Baillière's Clinical Endocrinology and Metabolism 6, no. 1 (1992): 193–216. http://dx.doi.org/10.1016/s0950-351x(05)80338-6.

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40

Koenig, Amie. "Endocrine Emergencies in Dogs and Cats." Veterinary Clinics of North America: Small Animal Practice 43, no. 4 (2013): 869–97. http://dx.doi.org/10.1016/j.cvsm.2013.03.004.

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41

Carroll, Richard, and Glenn Matfin. "Review: Endocrine and metabolic emergencies: thyroid storm." Therapeutic Advances in Endocrinology and Metabolism 1, no. 3 (2010): 139–45. http://dx.doi.org/10.1177/2042018810382481.

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42

Jacobi, Judith. "Management of Endocrine Emergencies in the ICU." Journal of Pharmacy Practice 32, no. 3 (2019): 314–26. http://dx.doi.org/10.1177/0897190019834771.

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Endocrine emergencies are frequent in critically ill patients and may be the cause of admission or can be secondary to other critical illness. The ability to anticipate endocrine abnormalities such as adrenal excess or , hypothyroidism, can mitigate their duration and severity. Hyperglycemic crisis may trigger hospital and intensive care unit (ICU) admission and may be life threatening. Recognition and safe treatment of severe conditions such as acute adrenal insufficiency, thyroid crisis, and hypoglycemia and hyperglycemic crisis may be lifesaving. Electrolyte abnormalities such as hypercalce

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43

Mattu, Amal. "Endocrine and Metabolic Emergencies in Emergency Medicine." Emergency Medicine Clinics of North America 32, no. 2 (2014): xv—xvi. http://dx.doi.org/10.1016/j.emc.2014.03.002.

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44

Mattu, Amal. "Endocrine and Metabolic Emergencies in Emergency Medicine." Emergency Medicine Clinics of North America 41, no. 4 (2023): xiii—xiv. http://dx.doi.org/10.1016/j.emc.2023.08.002.

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45

Karpenko, E. R., I. D. Gurova, A. E. Pogodina, et al. "Endocrine emergencies: clinical manifestations, operative diagnostics and emergency medical care." CARDIOMETRY, no. 27 (May 4, 2023): 150–60. http://dx.doi.org/10.18137/cardiometry.2023.27.150160.

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The article analyzes clinical manifestations, operative diagnostics and emergency medical care for endocrine emergencies. The authors notes that urgent endocrine conditions are serious and potentially life-threatening conditions that require immediate medical attention. Medical care in such cases may include rapid diagnosis and immediate treatment to prevent complications. Medical care for urgent endocrine conditions is critically important for saving the patient’s life and preventing serious complications. One of the directions of improving the methods of medical care for urgent endocrine con

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46

Ferdous, HS, Faria Afsana, Nazmul Kabir Qureshi, Rushda SB Rouf, AA Parvez, and AS Mir. "Recent Advancement on Current Trend in the Management of Endocrine Emergency in Critically Ill Patient." Journal of Bangladesh College of Physicians and Surgeons 33, no. 3 (2016): 146–55. http://dx.doi.org/10.3329/jbcps.v33i3.28059.

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Endocrine emergencies represent a group of potentially lifethreatening conditions that are frequently overlooked, resulting in delays in both diagnosis and treatment, factors that further contribute to their already high associated mortality rates. Although endocrine emergencies are often encountered in patients with a known endocrinopathy, the emergency may be the initial presentation in previously undiagnosed individuals. If these endocrine disorders are not rapidly identified or if specific treatment is delayed, significant complications or even death may occur. Careful evaluation of clinic

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47

Ferdous, HS, Faria Afsana, Nazmulkabir Qureshi, Rushda SB Rouf, AA Parvez, and AS Mir. "Recent Advancement on Current Trend in The Management of Endocrine Emergency in Critically Ill Patient." Journal of Medicine 17, no. 2 (2016): 100–108. http://dx.doi.org/10.3329/jom.v17i2.30073.

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Endocrine emergencies represent a group of potentially life-threatening conditions that are frequently overlooked, resulting in delays in both diagnosis and treatment, factors that further contribute to their already high associated mortality rates. Although endocrine emergencies are often encountered in patients with a known endocrinopathy, the emergency may be the initial presentation in previously undiagnosed individuals. If these endocrine disorders are not rapidly identified or if specific treatment is delayed, significant complications or even death may occur. Careful evaluation of clini

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48

Nasrullah, Adeel, Syed Azharuddin, Meilin Young, Alexis Kejas, and Tiffany Dumont. "Endocrine Emergencies in the Medical Intensive Care Unit." Critical Care Nursing Quarterly 45, no. 3 (2022): 266–84. http://dx.doi.org/10.1097/cnq.0000000000000411.

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49

Ungureanu, M. "Endocrine and Metabolic Medical Emergencies: A Clinician’s Guide." Acta Endocrinologica (Bucharest) 11, no. 4 (2015): 540. http://dx.doi.org/10.4183/aeb.2015.540.

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50

Seger, Donna. "Toxic emergencies of endocrine and metabolic therapeutic agents." Journal of Emergency Medicine 6, no. 6 (1988): 527–37. http://dx.doi.org/10.1016/0736-4679(88)90413-1.

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