Handbook of Endocrine Protocols
Handbook of Endocrine Protocols
Second Edition
Simon Rajaratnam MBBS MD DNB (Endo) MNAMS FRACP (Endo) PhD (Endo) FRCP (Edin)
Head Department of Endocrinology, Diabetes and Metabolism Christian Medical College
Vellore, Tamil Nadu, India
Anulekha Mary John MBBS MD Fellowship (Endo)
Endocrinologist and Associate Professor Believers Church Medical College Hospital
Thiruvalla, Kerala, India
Foreword
Nihal Thomas
Jaypee Brothers Medical Publishers (P) Ltd.
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Handbook of Endocrine Protocols
First Edition: 2015
Second Edition: 2019
9789352706983
Printed at
Our Alma mater
Christian Medical College, Vellore
Tamil Nadu, India
The beginning of any good book is like the source of a river on top of a mountain. The view from there is magnificent, the water is clean and a cool-breeze kisses your skin as you gaze at the swirling ripples cascade down into the valley.
Akin to this allegory, is the opportunity that I have had when reviewing the contents of this book.
Just as a few thousand readers have had the chance to gain knowledge from this little mini-encyclopedia on endocrinology through the first edition; so may many thousands more refresh themselves in their few precious moments that follow the many hours of toil and work in their busy days as clinicians, thereby enabling them to fill in the missing links and gaps in their knowledge.
Having an approach and algorithm to medical disorders and diseases is extremely important to help in the development of a robust differential diagnosis and an accurate therapeutic plan.
With the increasing diversity of clinical endocrinology being supported by a rapidly growing armamentarium of diagnostic tests, the tendency for an experienced clinician is to assume that what has been known and is time tested is a foregone conclusion of being precise. However, knowledge needs updation to supplement experience-based wisdom.
Similarly, therapeutic agents have also undergone a certain degree of advancement and evolution. Their availability may vary from continent to continent. Taking this into account, the authors have spent many months in trying to modify chapters to suit the needs of the practicing physician in South Asia.
The wonder that one experiences when practicing clinical endocrinology is like that of a child taking a tour in a zoological park. This book only helps enhance our starry-eyed gazed of this beautiful science.
All-in-all Drs Simon Rajaratnam and Anulekha Mary John have burnt the midnight oil in manufacturing a top class product.
As our finger tips caress the margins of the pages, I am certain that pages will turn brown, through use and reuse, and like any book which stands the test of time as a classic, the binding may loosen as an indicator of excellence.
Once again I wish one and all: “Bonne Lecture!”
Nihal Thomas
MD MNAMS DNB (Endo) FRACP (Endo) FRCP (Edin)
FRCP (Glas) FRCP (London) PhD (Copenhagen)
Professor and Head, Unit-1
Department of Endocrinology, Diabetes and Metabolism
Associate Director
Christian Medical College
Vellore, Tamil Nadu, India
Preface to the Second Edition
What I love about Medicine is that it keeps constantly changing as new discoveries are made. To keep up-to-date with current literature we have had to revise and come up a new edition of this booklet. We have strived to keep it simple and user friendly. We have introduced a new tabular format for the testing protocols. Most of the diagnostic tests can be easily completed as a day-care. All the reference ranges mentioned in this booklet are taken from the Department of Clinical Biochemistry, Christian Medical College, Vellore, Tamil Nadu, India. These treatment protocols are for adult patients and they should never be extrapolated for the pediatric age group.
Simon Rajaratnam
Preface to the First Edition
From my experience both as a student and as a teacher I felt the need for a small handbook which will serve as a ready reckoner for those working in the field of Endocrinology. With this in mind I tried to simplify details and present information in a simple format.
The Biochemistry reference ranges mentioned in this book are taken from the Department of Clinical Biochemistry, Christian Medical College, Vellore, Tamil Nadu, India. The section on Endocrine Test Protocols is specifically written as to enable these tests being performed as Day Care, with all the patients coming in by 8 AM. The treatment protocols in this book are meant only for adult patients and these should not be extrapolated for pediatric patients.
I am grateful to my teacher Dr MS Seshadri who nurtured my career in Endocrinology. I would also like to acknowledge the contribution of my coauthor Dr Anulekha Mary John who has been my student. This knowledge continues to be passed on from one generation to another.
Simon Rajaratnam
Acknowledgments
A great teacher inspires his students and I am fortunate to have had Dr MS Seshadri as my mentor and my guide. I am also fortunate to have my former student Dr Anulekha Mary John as my co-author. We are all grateful to our Alma mater The Christian Medical College, Vellore, Tamil Nadu, India, for molding and making us what we are today.
I would like to thank Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Ms Chetna Malhotra Vohra (Associate Director—Content Strategy) and the staff of M/s Jaypee Brothers Medical Publishers (P) Ltd., New Delhi, India.