INTERNAL MEDICINE
CRITICAL CARE
(2026-2027)
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, How does a pt present with adrenal insufficiency? Weak, Fatigue, weight loss
What does a diagnostic test show for adrenal Decrease cortisol, Decrease sodium, Increase Potassium, Eosinophilia
insufficiency?
What is the tx for adrenal insufficiency? Glucocorticoid
Hyperthyroidism is also known as Thyroid Storm
What is the etiology of of hyperthyroidism? Grave's disease, Toxic adenoma, thyroiditis
What is the history of hyperthyroidism? Weight loss, heat intolerance, anxiety, Increase bowel movement, palpitations,
tachycardia or atrial fibrillation, tremor, lid lag, Exophthalmos, agitation or
psychosis, confusion, and GI symptoms (e.g., nausea, vomiting, diarrhea).
How do you diagnosis hyperthyroidism? 1st TSH 2nd T4 levels. T3 only with TSH and T3 is down.
Tx for hyperthyroidism -Beta blocker (Propranolol) -block target organ site
-Steroids
Thyroid storm present with fever, atrial fibrillation, delirium
Study Diagram
Primary hyperthyroidism Decrease TSH, Increase T4
Secondary hyperthyroidism increase TSH, increase T4
Diabetic ketoacidosis (DKA) TYPE 1 NO INSULIN IS PRODUCED THEREFORE FAT IS USED FOR ENERGY,
TYPE 2 VERY RARELY GETS KETOACIDOSIS
How do you treat DKA? Insulin, fluids, and electrolyte repletion