5min chapter

The Curbsiders Internal Medicine Podcast cover image

#372 Endocrine Emergencies featuring Dr. Sara Markley Webster

The Curbsiders Internal Medicine Podcast

CHAPTER

Adrenal Insufficiency in Type 1 Diabetes

The adrenal crisis should kind of always be on your differential for these patients just in case it's happening. So if I have somebody who has autoimmune disease already and they're coming in nausea, vomiting, hypotensive, hyponatremic, hyperkalemic, you've got to have could this be a new onset adrenal insufficiency? And so the question I usually get is how do I diagnose this? Do I just hand out the steroids and put them on and you figure it out later or what do I do here? It really depends on when you're looking at Mr. Jerry, how sick do you think he is? If you think you can wait an hour

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