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Manejo de la espera: una guía práctica para el diagnóstico y manejo de afecciones endocrinas comunes

Ashley Williams¹, Justine Herndon

¹Ashley Williams is a PA at Champlain Valley Physicians Hospital in Plattsburgh, NY. Justine Herndon is a PA in the Department of Medicine in the Division of Endocrinology, Diabetes, and Metabolism and is co-director of evaluation in the PA program at Mayo Clinic in Rochester, MN. The authors have disclosed no potential conflicts of interest, financial or otherwise. Acknowledgment: A special thanks to Tina Kader, MD, for her guidance and assistance with this article and throughout the years.

JAAPA : official journal of the American Academy of Physician Assistants

|January 22, 2026

Abstract:

Wait times for endocrinology care can delay diagnosis and management of many hormonal imbalance disorders. Physician associates (PAs) are now, more than ever, faced with the task of ordering and interpreting complex laboratory tests to diagnose these endocrine disorders in the face of specialty care shortages. When primary care providers diagnose a disorder, it speeds therapy initiation and slows or stops the risk of complications. This article aims to assist PAs in nonendocrinology settings by clarifying various confounding factors that may impede diagnosis, as well as to provide guidelines and practical advice for the diagnosis and treatment of common endocrine disorders.

Palabras clave:

diabetes hipoglucemia hipogonadismo osteoporosis paratiroides tiroides

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