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Pediatric Critical Care pp 1317–1349Cite as

Critical Care Endocrinology

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Abstract

Endocrine emergencies may present as isolated occurrences, as the initial manifestation of an endocrine disorder, or as an acute decompensation in the condition of a child with a known endocrine disease resulting from poor adherence with medication or the stress of an intercurrent illness. Signs and symptoms of endocrine disorders may be nonspecific and may include altered level of consciousness, respiratory changes, and alterations in muscle tone. A history of poor feeding, vomiting, weight loss, or lethargy may also be elicited. The endocrinologic response to critical illness may also be abnormal, although accurately identifying when this occurs and determining the indications for treatment are controversial. When evaluating a child with a suspected endocrinologic abnormality, it is imperative to obtain baseline laboratory samples prior to treatment such that the proper diagnosis and treatment can expeditiously be determined.

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Author information

Authors and Affiliations

  1. Pediatric Endocrinology, Department of Pediatrics, Atrium Health Cabarrus, Jeff Gordon Children’s Hospital, Concord, NC, USA

    Kecha A. LynShue

  2. Division of Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Mabel Yau & Mark A. Sperling

Authors
  1. Kecha A. LynShue
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  2. Mabel Yau
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  3. Mark A. Sperling
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Corresponding author

Correspondence to Kecha A. LynShue .

Editor information

Editors and Affiliations

  1. Penn State Hershey Children’s Hospital, Pediatric Critical Care Medicine, Hershey, PA, USA

    Steven E. Lucking

  2. Division of Pediatric Critical Care, Department of Pediatrics, Janet Weis Children’s Hospital, Geisinger Medical Center, Danville, PA, USA

    Frank A. Maffei

  3. Department of Pediatrics/Divisions of Pediatric Critical and Palliative Care Medicine, Janet Weis Children’s Hospital at Geisinger, Geisinger Commonwealth School of Medicine, Danville, PA, USA

    Robert F. Tamburro

  4. Department of Pediatrics, Eastern Virginia Medical School, Children’s Hospital of The King’s Daughters, Norfolk, VA, USA

    Arno Zaritsky

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LynShue, K.A., Yau, M., Sperling, M.A. (2021). Critical Care Endocrinology. In: Lucking, S.E., Maffei, F.A., Tamburro, R.F., Zaritsky, A. (eds) Pediatric Critical Care . Springer, Cham. https://doi.org/10.1007/978-3-030-53363-2_43

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  • DOI: https://doi.org/10.1007/978-3-030-53363-2_43

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-53362-5

  • Online ISBN: 978-3-030-53363-2

  • eBook Packages: MedicineMedicine (R0)

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