Challenges of Endocrinology

The endocrine system controls the flow of information between cells and tissues, governed by complex regulatory mechanisms. Hormones exert widespread influences on various metabolic processes which ensure regulatory, morph genic and integrative function. Signs and symptoms of endocrine disorders span the entire clinical spectrum. Manifestations of endocrine diseases are frequently due to non‐endocrine or unknown causes such as fatigue, malaise, weakness, headache, anorexia, depression, weight gain or loss. Endocrine diseases are therefore, easily recognisable in their extreme forms and arriving at clear diagnosis can sometimes be difficult.  Early diagnosis and management of endocrine diseases are essential and can be achieved by the combination of targeted endocrine testing, imaging, careful history, physical examination and sound clinical judgement. Adequate knowledge and understanding of basic science and principles of endocrinology are important tools for the enhancement of efficiency and accuracy‐goals of endocrine function testing. The perfect strategy for targeted endocrine investigation would achieve the ideals of reaching specific diagnosis in the shortest time, with minimum inconvenience and cost on the patient.

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