Payton R G, Gardner R, Reynolds D
Division of Community Medicine, Beth Israel Hospital, Boston, Massachusetts, USA.
J Nurse Midwifery. 1997 May-Jun;42(3):186-206. doi: 10.1016/s0091-2182(97)00024-4.
This article reviews the physiology and pathophysiology of selected endocrine glands. The common presenting clinical signs and symptoms are reviewed, and the initial laboratory tests that may establish the diagnosis are recommended. Diagnosis and management of hypothyroidism, hyperthyroidism, hyperparathyroidism, hypoparathyroidism, pituitary disorders, diabetes mellitus (types I and II), hypoglycemia, and disorders of the adrenal cortex are discussed. The clinical management of the most commonly encountered endocrine disorders seen in the primary care setting is described, and pharmacologic considerations are underscored.
本文综述了特定内分泌腺的生理学和病理生理学。回顾了常见的临床表现和症状,并推荐了可能有助于确诊的初始实验室检查。讨论了甲状腺功能减退、甲状腺功能亢进、甲状旁腺功能亢进、甲状旁腺功能减退、垂体疾病、糖尿病(I型和II型)、低血糖以及肾上腺皮质疾病的诊断和管理。描述了基层医疗环境中最常见内分泌疾病的临床管理,并强调了药物治疗方面的考虑因素。