Endocrine disorders are often quite complex, involving a mixed picture of hyposecretion and hypersecretion because of the feedback mechanisms involved in the endocrine system. For example, most forms ofhyperthyroidism are associated with an excess ofthyroid hormone and a low level ofthyroid stimulating hormone.[2]
Emergencies arising from decompensatedpheochromocytomas orparathyroid adenomas are sometimes referred for emergency resection when aggressive medical therapies fail to control the patient's state, however the surgical risks are significant, especially blood pressure lability and the possibility of cardiovascular collapse after resection (due to a brutal drop in respectively catecholamines and calcium, which must be compensated with gradual normalization).[8][9] It remains debated when emergency surgery is appropriate as opposed to urgent or elective surgery after continued attempts to stabilize the patient, notably in view of newer and more efficient medications and protocols.[10][11][12]
^Fariduddin, Maria M.; Bansal, Nidhi (2023),"Hypothyroid Myopathy",StatPearls, Treasure Island (FL): StatPearls Publishing,PMID30137798, retrieved2023-08-25
^Phitayakorn, R; McHenry, CR (June 2008). "Hyperparathyroid crisis: use of bisphosphonates as a bridge to parathyroidectomy".Journal of the American College of Surgeons.206 (3):1106–15.doi:10.1016/j.jamcollsurg.2007.11.010.PMID18501807.