Adrenal Insufficiency | Clinical Medicine
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- Опубликовано: 28 июл 2024
- Premium Member Resources: www.ninjanerd.org/lectures/ad...
Ninja Nerds!
In this lecture, Professor Zach Murphy will present on Adrenal Insufficiency. We will discuss the pathophysiology, including the inadequate production of adrenal hormones such as cortisol and aldosterone, which can be due to primary adrenal failure (Addison's disease) or secondary causes affecting the pituitary. The lecture will include a discussion on the clinical manifestations, such as fatigue, muscle weakness, weight loss, and electrolyte imbalances. The digital presentation will begin with the diagnostic approach, highlighting the importance of serum cortisol levels, ACTH stimulation tests, and imaging studies to assess adrenal and pituitary glands. Finally, we will review management strategies for Adrenal Insufficiency, emphasizing hormone replacement therapy to restore hormone levels and manage symptoms. Enjoy the lecture and support us below!
Table of Contents:
0:00 Lab
0:07 Adrenal Insufficiency Introduction
0:52 Primary Adrenal Insufficiency
3:56 Adrenal Cortex Injury
12:55 Secondary Adrenal Insufficiency
15:53 Hypopituitarism
20:38 Pituitary Suppression
23:27 Classic Findings of Adrenal Insufficiency
35:52 Complications of Adrenal Insufficiency
44:26 Diagnostic Approach to Adrenal Insufficiency
47:49 Treatment of Adrenal Insufficiency
51:11 Comment, Like, SUBSCRIBE!
Retired Ninja Nerd Lectures:
• Adrenal Insufficiency ...
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Wait a minute, you apologised a few days ago for this masterpiece???!!!
You smashed medicine , you monster ❤️❤️🔥🔥🔥🔥🔥💪💪💪💪💪
Thank you SOOO much for all your hard work in putting together these videos. Your clinical medicine series videos have been by far the most helpful resource for me for studying for Step 2. We love you!!!
Thank You very much for all the work, time, and execution of these very informative videos!! 👏🏼 👏🏼
You are always my go to channel. Thank you
Amazing lecture as always. Ty Zach!
literally the best teacher
Thank you for the videos
Great video, thanks Ninja Nerd!
Excellent work as always
Thank you for this video
You are AMAZING!! Thank you so much!!
I love your teaching methodologies.
PERFECT. PERFECTION.
I have secondary adrenal insufficiency, caused by Pembrolizumab (Keytruda) immunotherapy. I see several new people every week joining the support groups online who have this side effect of immunotherapy, I think it’s becoming more and more common. I have almost no cortisol, almost no acth, and almost no DHEA. I also have almost no estrone, estradiol, estriol, progesterone, or pregnenolone. I have high FSH and FH. I was not in menopause prior to chemotherapy & immunotherapy.
Thank you very much
Thank You for wonderful lessons!
Thank you Zach!
You are great. Thank you for sharing yor knowledge.
Thankyou sooo much for this
best teacher ever !
your videos carry me through my advanced physiology class!
Best teacher in the world ❤❤❤
Thank you very much ❤
Thank you 💗
thank you!
Explicação maravilhosa! E muito obrigada por acrescentar legendas em português! ❤️
Excellent
I have Addison's Disease and love that you covered this !
Outdone yourself with this one 👏🏻
Thank you
Thank you!
U r amazing teacher .. love and respect 🙏🙏❤️
Thankyou Zach❤
Wow!!! Agreed this is a masterpiece presentation!!!👏😊
Our kids asthma specialist had us put a humidifier inside their room which we later learned contributed to mold and dust mite growth, making their asthma chronic. He also prescribed FLOVENT, a steroid inhaler at a dose 4x what it should be for our tiny daughter and it shut down her adrenal system, she nearly died in ICU before an endocrinologist figured out the cause and treatment (cortisone helped her recover over 6 months until she was ok again). This doctor should be behind bars, but he's out doing it to thousands of other kids with the full support and profit of pharma. This system is not helping us. We got our kids off of the inhalers, removed the humidifier and they've been fine since.
I'm not diagnosing other's conditions or situations but I'm a parent who nearly lost my child due to gross misuse of these drugs on my daughter.
Please do not stop spreading your message .
It’s relevant in all areas of health and medicine .
Hope she gets well soon !
get the papers and sue them !!
you will save hundreds of lives
Thank you sir
You are amazing❤️
Excellency at its best❤
Thanks
Sounds like your explanation fits some dysautonomia/ pots syndrome symptoms
You are amazing
From Yemen, big thanks
Awesome
I SWEAR MY PROFESSOR COULD'VE JUST PLAYED THIS! i sat there for 2H n understood nothing but Zack in 51 mins made it all click
You rock
Love u zackk❤❤
da best
zach explain it like drinking water
Why do I maintain a normal blood sugar when untreated for SAI if cortisol causes blood sugar to rise and my cortisol tanked?
Time 16:47 what if a pregnant mother does not have any pituitary/ adrenal/ endocrine issues before or during pregnancy… what would you guess would cause the new born to be diagnosed with hypopituitary?
Eosinophilia? Why would that be the case? And how high?
Are there any other microbes that infect and deteriorate the adrenals? Never-ending. You answered.
How can my mother have Secondary and a tumor and I also have Secondary (looking for a tumor)? Is this genetic?
I have been in Addison crisis. If I can tell you guys it is AWFUL for the patient... Multiply awful x 1,000,000. INTENSE headache, vomiting, more intense headache, lots of urination, drink water, urinate it back out... Then, you just want to lie down and go to sleep. Luckily (I didn't know I had Addisons), I called a friend and told him I was dying. I didn´t know I was dying but it felt like dying. They called 9'11. You should know that intense crying and greiving sends me into Addisons Crisis. I don´t know if this is true for other patients. I was out of the country. I am very surprised the abulance knew to give me steroids.
❤❤❤
❤
I have an upcoming SOAP note on anadrenal crisis case, without you my ass is grass 😭
why isnt CAH considered primary adrenal insufficiency?
CEA is because of congenital absence of 21OH and manifested in young children.....
CAH*
In CAH there is deficiency of 21-OH enzyme which cause decrease in aldosterone and cortisol and switch the pathway more towards the synthesis of androgen
Yo I ❤
🎉🎉🎉🎉
6 th like sir, I'm pratheesh from india ( Tamil Nadu).am big fan of you sir.say one hi sir.
💯🥷💯🥷💯🥷💯
You are AMAZING!! Thank you so much!!