Episode 161: The Consult Question #1 – Hypoglycemia
The Clinical Problem Solvers
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The Complexity of Adrenal Insufficiency
Dr. Murphy: I can remember every single patient I've had with isolated ACTH deficiency. It's very rare. You lose the gonadotropes, the FSH and the LH when you're sick; it's not a good time to reproduce. The glucocorticoid axis is usually the last thing to go in an ICU. When people are really sick they sequentially lose certain hormones in an order.
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