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Professional paper - Review paper
Hitna stanja u endokrinologiji
Medicina Fluminensis : Medicina Fluminensis, 49 (2013), 4; 391-404. urn:nbn:hr:184:945761
Klobučar Majanović, Sanja; Crnčević Orlić, Željka; Zorić, Čedomir; Bićanić, Nenad

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Klobučar Majanović, S., Crnčević Orlić, Ž., Zorić, Č. & Bićanić, N. (2013). Hitna stanja u endokrinologiji. Medicina Fluminensis : Medicina Fluminensis, 49. (4), 391-404. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:945761

Klobučar Majanović, Sanja, et al. "Hitna stanja u endokrinologiji." Medicina Fluminensis : Medicina Fluminensis, vol. 49, no. 4, 2013, pp. 391-404. https://urn.nsk.hr/urn:nbn:hr:184:945761

Klobučar Majanović, Sanja, Željka Crnčević Orlić, Čedomir Zorić and Nenad Bićanić. "Hitna stanja u endokrinologiji." Medicina Fluminensis : Medicina Fluminensis 49, no. 4 (2013): 391-404. https://urn.nsk.hr/urn:nbn:hr:184:945761

Klobučar Majanović, S., et al. (2013) 'Hitna stanja u endokrinologiji', Medicina Fluminensis : Medicina Fluminensis, 49(4), pp. 391-404. Available at: https://urn.nsk.hr/urn:nbn:hr:184:945761 (Accessed 03 December 2024)

Klobučar Majanović S, Crnčević Orlić Ž, Zorić Č, Bićanić N. Hitna stanja u endokrinologiji. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2013 December 02 [cited 2024 December 03];49(4):391-404. Available at: https://urn.nsk.hr/urn:nbn:hr:184:945761

S. Klobučar Majanović, Ž. Crnčević Orlić, Č. Zorić and N. Bićanić, "Hitna stanja u endokrinologiji", Medicina Fluminensis : Medicina Fluminensis, vol. 49, no. 4, pp. 391-404, December 2013. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:945761. [Accessed: 03 December 2024]

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Metadata
Title (croatian)Hitna stanja u endokrinologiji
Title (english)Emergencies in endocrinology
AuthorSanja Klobučar Majanović
AuthorŽeljka Crnčević Orlić
AuthorČedomir Zorić
AuthorNenad Bićanić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Intensive Care
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Emergency Medicine
Abstract (croatian)
Hitna stanja u endokrinologiji predstavljaju skupinu po život opasnih stanja koja često, unatoč dijagnostičkim i terapijskim dostignućima suvremene medicine, i dalje ostaju često neprepoznata. Nepravovremena dijagnoza i odgođeni početak liječenja dodatno pridonose ionako visokoj smrtnosti koja karakterizira ova stanja. Iako se najčešće javljaju u osoba s otprije poznatim endokrinopatijama, hitno stanje može biti i prva manifestacija bolesti endokrinog sustava, što dodatno otežava pravovremeno postavljanje dijagnoze. U ovom preglednom članku iznosimo prikaz najčešćih hitnih stanja u endokrinologiji i dijabetologiji u okrilju medicine zasnovane na dokazima. Dijabetička ketoacidoza (DKA) i hiperglikemijsko hiperosmolarno stanje (HHS) dvije su najčešće akutne komplikacije šećerne bolesti koje ujedno predstavljaju i najčešća hitna stanja u endokrinologiji. Tireotoksična kriza, miksedemska koma i adrenalna kriza nisu stanja s kojima se često susrećemo u kliničkoj praksi, no važno je prepoznati ih na vrijeme i započeti sa specifičnim liječenjem jer u protivnom rezultiraju ozbiljnim komplikacijama i visokom smrtnošću. Poznavajući činjenicu da su hitna stanja u endokrinologiji često posljedica drugih bolesti ili stanja, sve precipitirajuće poremećaje treba prepoznati i liječiti.
Abstract (english)
Endocrine emergencies are group of life-threatening conditions which often remain unrecognised despite diagnostic and therapeutic achievements of modern medicine. Delay in making the diagnosis and initiating treatment give rise to already high mortality rate in this group of patients. Although emergencies in endocrinology usually develop in patients with long-standing endocrinopathies, endocrine crisis can be the first manifestation of endocrine disease which additionally contribute to a late diagnosis. This review discusses the evidence-based management of diabetic and endocrine emergencies in the adult population. Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are two of the most serious acute complications of diabetes and as such constitute the majority of all endocrine emergencies. Thyroid storm, myxedema coma and adrenal crisis are less common in everyday clinical practice. However, the failure to recognise them and to begin rapidly the specific therapy can have fatal consequences. Giving the fact that endocrine crises are often precipitated by an acute event, identification and treatment of underlying event is required.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 49, no. 4, pp. 391-404
p-ISSN0025-7729
URN:NBNurn:nbn:hr:184:945761
Publication2013-12-02
Document URLhttp://hrcak.srce.hr/112529
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2017-05-12 10:59:48