medical educational videos watching ? now this is how you make a video and this is how you narrate! no stupid background music, read the material at perfect voice, tone and pitch. well done and thank you!
Thanks for this. I have this condition and no one has ever explained it to me. Mine is managed with spironolactone and my raging high blood pressure I suffered for 20 years was returned to normal. I was also take off most of my BP meds. It's been a life saver.
I take Eplerenon. Helps too. Same condition. My Blood Pressure is under 120/80 now. Before It was 160/100 and more. I struggled a lot with palpitations and extrasystoles....due to a lack of potassium. It was a odysee of years before a doctor mentioned this condition.
I keep returning to review your lectures, especially the endocrine section (I cannot count how many times I have reviewed medical videos on your channel). I cannot thank you enough. Keep up the fantastic work.
Brilliant explanation! I saw a 20 year old patient today who had uncontrolled HTN despite being on Rx. My consultant told me to rule out secondary causes and I completely forgot about primary and secondary hyperaldosteronism. I just got home and searched for this video, always great having a refresher from time to time. Medicine never ends haha
Don’t feel too bad. I was first diagnosed with high blood pressure in my freshman physical when I joined the track team at my university. I’m 56 and it took a doctor at my daughter’s university (Georgetown - the deserve the credit) who suggested it when I missed her graduation sitting in the hospital on one of my many potassium titrations. Even after that my primary care doctor wasn’t interested in checking (“Oh, that’s really rare, I don’t think we need to consider that.”). Changed doctors, a lot of tests and CT imaging later and surprise surprise …..
A very clever np with a very good memory, saved my life. She remembered this lesson from her studies and connected me with an endocrinologist. He found the tumor which she suspected. The tumor is super tiny...too tiny to remove but, large enough to reek havoc (my bp was ridiculously high). So the endocrinologist opted to put me on spironolactone. That was back in 2016. I'm still here! I've had a few TIAs (most likely due to a series of lupus flares) but thank the Lord, I had an extremely rapid recovery for each. For the most part my bp's under control (112/72). I'm pretty positive that had the nurse practitioner not been such an attentive student, I would not be here today.
this is one of the best lessons regarding this subject ! thats amazing, one simple note is then in the minute 1:54 the video mentioned aldosterone causes ( potassium secretion ) not to be confused by the clinical presentation of hypokalemia, so dont forget that this is happening inside the distal tubule and thus it will be ( excreted ) in the urine causing the potassium to be low in the bloodstream.
MD's I highly recommend a "CT" scan on the adrenal gland left and right with and without contrast patients sometimes have adrenal adenomas which is a benign tumor That releases one of the three corticosteroids like aldosterone and also potassium ...a routine checkup is also recommended if they're suffering from hypertension or uncontrollable high blood pressure before checking any of these boxes Good luck and long live the free unbiased medical enlightenment!!
loved the video, just figured out my aldosterone to renin ratio is too high so i probably have primary hyperaldosteronism and its so interestign learning about how everything works :)
hey, I have final exams in 5 days and I was striving to understand the material from my lecture notes. This video made everything really clear in my head! Thank you!
Bilateral adrenal hyperplasia is more common than adrenal adenoma as a cause for hyperaldosteronism(Although previously it was thought otherway around)
That's exactly what my doc told me. I have bilateral hyperaldosteronism, but the adrenal adenoma is NOT secreting the hormone. So it has not been removed, but I am taking medications to help manage it.
Laid in the hospital after successful surgery. Less than 24 hours since the tumour and gland removed and already there has been significant improvement.
Great video, what is your recommended diet for the patients, i assume DASH diet low sodium high potassium.what about water intake, since higher volume of water in blood, presumably. Any suggestions 😊😊😊😊
Thanks! I am a general practitioner in the UK. This means I see patients with all health problems, from pregnancy, through childhood, adulthood and into old age.
Hello, I have primary hyperaldosteronism. My aldosterone to renin levels are 70 to 1. After having a CT and MRI, the doctors determined I was -what they called - a type 7 (undetermined). Spironolactone is my primary medication; I do have a major side effect of this drug, as my chest is flabby. I've been on this drug since 1997.
Hi I’m a respiratory therapist,low woman on the totem pole. I have hyerpetaldoseronism and recently diagnosed with benign fasciculation syndrome. I have had no success as to why I have them both. Would any of your kind listeners or any doctors out there know of any correlation between the two? Does anyone know of any study’s going on for either one? Just a very fatigued exhausted 58 year old respiratory therapist in Ohio!
in the video it says one of the causes of primary hyperaldosteronism is bilateral adrenal hyperplasia, wouldn't it be more correct to say "bilateral hyperplasia of zona glomerulosa" since in Congenital adrenal hyperplasia the opposite happens that is low levels of aldosterone thank you the videos was very helpful
Hello, I have a question if you don't mind. I just took the blood test and Aldosterone was in the normal range, my Renin Activity, Plasm were LOW and my Aldos/Renin Ration was HIGH. The numbers ranged from 1-30 and mine was a 35. What does that mean?
Hi. Can you explain what happens to the levels of angiotensin 1 and 2 in conns syndrome? Renin is obviously low due to primary hyperaldosteronism. Thanks
![Felix "Unfair" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/Oswujxm2Ag0/mqdefault.jpg)
medical educational videos watching ? now this is how you make a video and this is how you narrate!
no stupid background music, read the material at perfect voice, tone and pitch. well done and thank you!
Thanks Azaz!
thank a lot sir for so speed and no extra time waste
Thanks for this. I have this condition and no one has ever explained it to me. Mine is managed with spironolactone and my raging high blood pressure I suffered for 20 years was returned to normal. I was also take off most of my BP meds. It's been a life saver.
You don't have gynecomastia
I take Eplerenon. Helps too. Same condition. My Blood Pressure is under 120/80 now. Before It was 160/100 and more. I struggled a lot with palpitations and extrasystoles....due to a lack of potassium. It was a odysee of years before a doctor mentioned this condition.
Hi did you regularly take spironolactone ?
@@deepakkharel6875200mg per day … I take daily for conn’s
I keep returning to review your lectures, especially the endocrine section (I cannot count how many times I have reviewed medical videos on your channel). I cannot thank you enough. Keep up the fantastic work.
Brilliant explanation! I saw a 20 year old patient today who had uncontrolled HTN despite being on Rx. My consultant told me to rule out secondary causes and I completely forgot about primary and secondary hyperaldosteronism. I just got home and searched for this video, always great having a refresher from time to time. Medicine never ends haha
Don’t feel too bad. I was first diagnosed with high blood pressure in my freshman physical when I joined the track team at my university. I’m 56 and it took a doctor at my daughter’s university (Georgetown - the deserve the credit) who suggested it when I missed her graduation sitting in the hospital on one of my many potassium titrations. Even after that my primary care doctor wasn’t interested in checking (“Oh, that’s really rare, I don’t think we need to consider that.”). Changed doctors, a lot of tests and CT imaging later and surprise surprise …..
A very clever np with a very good memory, saved my life. She remembered this lesson from her studies and connected me with an endocrinologist. He found the tumor which she suspected. The tumor is super tiny...too tiny to remove but, large enough to reek havoc (my bp was ridiculously high). So the endocrinologist opted to put me on spironolactone. That was back in 2016. I'm still here! I've had a few TIAs (most likely due to a series of lupus flares) but thank the Lord, I had an extremely rapid recovery for each. For the most part my bp's under control (112/72). I'm pretty positive that had the nurse practitioner not been such an attentive student, I would not be here today.
Hope you’re still doing well, Kelly?
@@rainydaydiva6320 unfortunately he died
Physiology 0:30
Primary hyperaldosteronism 2:03
Secondary hyperaldosteronism 2:58
Investigations: 4:47
Management: 5:54
Tip : 6:31
Bro u save my life i don need to go through the lengthy slides. Thank u so much.
this is one of the best lessons regarding this subject ! thats amazing, one simple note is then in the minute 1:54 the video mentioned aldosterone causes ( potassium secretion ) not to be confused by the clinical presentation of hypokalemia, so dont forget that this is happening inside the distal tubule and thus it will be ( excreted ) in the urine causing the potassium to be low in the bloodstream.
Very simple to understand, brilliant, professional for learning, i recommend it for any doctor prepairing for exams
thanks!
MD's I highly recommend a "CT" scan on the adrenal gland left and right with and without contrast patients sometimes have adrenal adenomas which is a benign tumor That releases one of the three corticosteroids like aldosterone and also potassium ...a routine checkup is also recommended if they're suffering from hypertension or uncontrollable high blood pressure before checking any of these boxes Good luck and long live the free unbiased medical enlightenment!!
That was amazing, time saving, short and crisp. Thank you !!! Will look out more videos!
loved the video, just figured out my aldosterone to renin ratio is too high so i probably have primary hyperaldosteronism and its so interestign learning about how everything works :)
never understood in my medical school bt now things r very clear thank u for such a smooth explaination..
Thats great. Thanks for your comment!
hey, I have final exams in 5 days and I was striving to understand the material from my lecture notes. This video made everything really clear in my head! Thank you!
Bilateral adrenal hyperplasia is more common than adrenal adenoma as a cause for hyperaldosteronism(Although previously it was thought otherway around)
Interesting, thanks Nirmal
That's exactly what my doc told me. I have bilateral hyperaldosteronism, but the adrenal adenoma is NOT secreting the hormone. So it has not been removed, but I am taking medications to help manage it.
your videos are very informative and cover all important points of each disease with easy explanation ,thanks alot!
Oh my goodness, I am so glad I have found this- what a brilliant resource! Thank you very much! 🙂
Laid in the hospital after successful surgery. Less than 24 hours since the tumour and gland removed and already there has been significant improvement.
How was the surgery ? Can you say me in details .i m suffering from hyperaldosteronism and may be I need to do surgery .is it curable
@@priyankaghosh338 have you had a scan?
Very explicit and simple to the basic. Thank you doctor
Keep it up. I'm in the MSN-NP program and I watch your videos daily ;)
Wow perfect easy video with all the points expalined shortly and precisely , subscribed !!
all my life is awaste bcz of how late i found ur channel,
thank u so much
This was GOLD for my studying! Thank you!
I honor your generous effort of such fine teaching,Thank you !
Thank you so much for this! My first time using your videos and I've been greatly helped.
This is extremely helpful! Thank you very much!
This was soo good and easy to understand. Thank you
Great explanation and ✍️ drawings , thank you 🙏🏼 glad to find this channel
Best Chanel ever
Thank you for the great explanation ❤
Amazing and very simple and informative. Thanks
Clear explanation thanks. It's a life saver. Today i have my exams😅
Thank you very much for reminding me of this stuff again.
Thank you for doing this!! Super helpful x
Please give symptoms & signs of hyperaldosteronism.
Great video, what is your recommended diet for the patients, i assume DASH diet low sodium high potassium.what about water intake, since higher volume of water in blood, presumably. Any suggestions 😊😊😊😊
Such a good video Jazakallah Khair ❤
Thank you so much 🤗
So good. Thank you.
Thanks Doc!!
Just love love love this channel
Great explanation
This is really good man .
Keep up the good work 🤩
Thank you!
Very helpful and very well presented 👍
Thank you for this video! You're a great help
Thanks for your awesome and clear explanations!! btw, may I ask what field of medicine you are in? You definitely have the gift of teaching!!
Thanks! I am a general practitioner in the UK. This means I see patients with all health problems, from pregnancy, through childhood, adulthood and into old age.
Amazing thank you!❤
Thanks alot!!
Perfect! Thanks a lot!
Such a great video. Thank you very much 💜
it was so helpful thank you so much for helping us
thank you
Thank you soooo much🙏🏻
Thank you sir ❤
I am reading for exam that was absolutely amazing
Thank you! Good luck in your exam
Amazing thanku sir ❤
thank you sir
Thanks
thank you so much! worth to subscribe guys. clear explanation
Thank you for this. You explain very well
Thanks :D
Thank you 😍😍😍😍😍
thanks very helpful
thank you it's super helpful
Thanx😍
keep it up lecture is very help full
Amazing explanation thanks for your affords
Very well presented!
Too good thank u soo much!
Brilliant. Thx
Hello, I have primary hyperaldosteronism. My aldosterone to renin levels are 70 to 1. After having a CT and MRI, the doctors determined I was -what they called - a type 7 (undetermined). Spironolactone is my primary medication; I do have a major side effect of this drug, as my chest is flabby. I've been on this drug since 1997.
Flabby chest meaning?
Very easy and memorized lec
This is such a great video !!
Thanks
Thank you so much sir 💕☺️💕☺️💕☺️💕
Great video. Thank you!
Glad to help!
Nice .very helpful.Thank u.
Amazing explanation tysm❤️
here I am, to watch it again :DDD Amazing video
Masha Allah it's simply the best
Amazing ❤
You’re the best thank you
Hi I’m a respiratory therapist,low woman on the totem pole. I have hyerpetaldoseronism and recently diagnosed with benign fasciculation syndrome. I have had no success as to why I have them both. Would any of your kind listeners or any doctors out there know of any correlation between the two? Does anyone know of any study’s going on for either one? Just a very fatigued exhausted 58 year old respiratory therapist in Ohio!
You're great guys 👏
Thanks!
Could you make a video regarding pheochromocytoma
ON POINT!!!
Thanks for the upload
Hi Adeola. I'm glad you found it! Thanks for the comment.
Zero To Finals Thank you too, for sharing this knowledge in such a simplified way.
So helpful
very helpful, thank you.
Nice video! Please make a video on stroke syndromes.
Thanks Vijay! I will work on a video for stroke in the next few months - I really appreciate the suggestion. Keep your eye out!
非常感謝🙏
in the video it says one of the causes of primary hyperaldosteronism is bilateral adrenal hyperplasia, wouldn't it be more correct to say "bilateral hyperplasia of zona glomerulosa" since in Congenital adrenal hyperplasia the opposite happens that is low levels of aldosterone
thank you the videos was very helpful
explains a lot! Thanks.
No problem Jack. Glad to help
Hello, I have a question if you don't mind. I just took the blood test and Aldosterone was in the normal range, my Renin Activity, Plasm were LOW and my Aldos/Renin Ration was HIGH. The numbers ranged from 1-30 and mine was a 35. What does that mean?
Can anybody explain... If secondary hyperaldosteronism is part of conn's disease or not.......
Hi. Can you explain what happens to the levels of angiotensin 1 and 2 in conns syndrome? Renin is obviously low due to primary hyperaldosteronism. Thanks
How can I get these questions at the end of Lecture
Hi there, you say: the HORMONE Renin. In all other tutorials, i read ENZYME. So is Renin an enzyme or a hormone? Thank you. It's excellent.
Yes you are absolutely right - renin is an enzyme, not a hormone!
@@ZeroToFinals thank you so much.
thank you
Thanks ..
you're welcome
Hi, I wonder if renin is a protein or hormone.
It is a hormone of protein nature
My aldosterone to renin ratio is 12.5 but my doctor said my blood pressure is not directly affected by this
Your doctor is just a salesman for big Pharma, He’s there to protect the institution not to protect you