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Hormones and DBA

Hormones and DBA. Dr Dominic Cavlan St Bartholomew ’ s Hospital. Agenda. Transfusion and the endocrine system Fertility Bone health Steroid precautions. Hypothalamus. Anterior Pituitary. GH. OXY. ADH. LH FSH. PRL. TSH. ACTH. LH FSH. Adrenal. Kidney. Pituitary. Breast.

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Hormones and DBA

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  1. Hormones and DBA Dr Dominic Cavlan St Bartholomew’s Hospital

  2. Agenda • Transfusion and the endocrine system • Fertility • Bone health • Steroid precautions

  3. Hypothalamus Anterior Pituitary

  4. GH OXY ADH LH FSH PRL TSH ACTH LH FSH Adrenal Kidney Pituitary Breast Muscle Bone Ovary Thyroid Testis

  5. LH FSH Testis Ovary

  6. Progesterone LH Oestrogens FSH Oestrogens

  7. Oestrogen & Progesterone The Pill HRT LH/FSH Regular injections LH FSH

  8. LH FSH Testosterone

  9. Testosterone Daily gel or Monthly injection LH/FSH Regular injections LH FSH

  10. Bone Strength • Anaemia • Iron • Chelators • Growth Hormone • Steroids • Vitamin D

  11. Thyroid T4 Thyroxine Daily tablet

  12. Pituitary Adrenal ACTH Steroids

  13. Steroid Precautions Carry a steroid card & Medic Alert Double steroid dose when unwell Emergency steroid injection if vomiting

  14. Questions?

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