PMS II Week 9 Endocrine Clinical Application Study
PMS IIGuide.pdf
Week 9 Endocrine Clinical Application Study
PMS IIGuide.pdf
Week 9 Endocrine Clinical Application Study Guide.pdf
PMS II Week 9
Endocrine Clinical
Application Study
Guide
PMS II Week 9 Endocrine Clinical Application Study
PMSGuide.pdf
II Week 9 Endocrine Clinical ApplicationPMS
Study
II Week
Guide9 Endocrine Clinical Application Study Guide.pdf
, PMS II Week 9 (Endocrine - Clinical Application).pdf PMS II Week 9 (Endocrine - Clinical Application).pdf PMS II Week 9 (Endocrine - Clinical Application).pdf
•A 70 year-old man with a hx of GCA for the last year very low BP, fever, hx GCA
is markedly confused immediately after an elective DDX: delirium, sepsis, adrenal crisis
cholecystectomy. Temperature is 101.5 F, pulse is 130,
BP is 76/42, and respiratory rate is 20. The abdomen • Prednisone = chronic steroid use for GCA --> any period of
is not distended but is tender without guarding or discontinuation can lead to immediate stress on the body (especially after
rebound; staples are intact. Blood loss was minimal surgery). Potentially not enough steroid prior to surgery = adrenal crisis
during surgery, and 2 L of fluid were administered from insufficient glucocorticosteroids. insuffient cortisol = lacking tone in
(BP not changed). the vessels (hypotension)
•Meds: NSAIDs, prednisone. • History of GCA – ??
DDX to rule out hypoxia, infection, acute MI, and ABG
bleeding blood culture
EKG
CMP - electrolyte imbalances (low sodium, high potassium, low blood
sugar)
TX of case 1 - adrenal crisis Emergent admin of hydrocortisone IV
volume repletion w glucose and saline
.... more
Key Points - Adrenal Crisis
presentation and symptoms
PMS II Week 9 (Endocrine - Clinical Application).pdf PMS II Week 9 (Endocrine - Clinical Application) PMS II Week 9 (Endocrine - Clinical Application).pdf
PMS IIGuide.pdf
Week 9 Endocrine Clinical Application Study
PMS IIGuide.pdf
Week 9 Endocrine Clinical Application Study Guide.pdf
PMS II Week 9
Endocrine Clinical
Application Study
Guide
PMS II Week 9 Endocrine Clinical Application Study
PMSGuide.pdf
II Week 9 Endocrine Clinical ApplicationPMS
Study
II Week
Guide9 Endocrine Clinical Application Study Guide.pdf
, PMS II Week 9 (Endocrine - Clinical Application).pdf PMS II Week 9 (Endocrine - Clinical Application).pdf PMS II Week 9 (Endocrine - Clinical Application).pdf
•A 70 year-old man with a hx of GCA for the last year very low BP, fever, hx GCA
is markedly confused immediately after an elective DDX: delirium, sepsis, adrenal crisis
cholecystectomy. Temperature is 101.5 F, pulse is 130,
BP is 76/42, and respiratory rate is 20. The abdomen • Prednisone = chronic steroid use for GCA --> any period of
is not distended but is tender without guarding or discontinuation can lead to immediate stress on the body (especially after
rebound; staples are intact. Blood loss was minimal surgery). Potentially not enough steroid prior to surgery = adrenal crisis
during surgery, and 2 L of fluid were administered from insufficient glucocorticosteroids. insuffient cortisol = lacking tone in
(BP not changed). the vessels (hypotension)
•Meds: NSAIDs, prednisone. • History of GCA – ??
DDX to rule out hypoxia, infection, acute MI, and ABG
bleeding blood culture
EKG
CMP - electrolyte imbalances (low sodium, high potassium, low blood
sugar)
TX of case 1 - adrenal crisis Emergent admin of hydrocortisone IV
volume repletion w glucose and saline
.... more
Key Points - Adrenal Crisis
presentation and symptoms
PMS II Week 9 (Endocrine - Clinical Application).pdf PMS II Week 9 (Endocrine - Clinical Application) PMS II Week 9 (Endocrine - Clinical Application).pdf
