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The Curbsiders Internal Medicine Podcast
REBOOT: #372 Endocrine Emergencies featuring Dr. Sara Markley Webster
Aug 7, 2023
Dr. Sara Markley Webster from Emory University discusses inpatient management of can't miss endo emergencies including adrenal crisis, myxedema coma, and thyroid storm. The topics covered include dosage and tapering of hydrocortisone, diagnostic options for adrenal insufficiency, resolving electrolyte abnormalities, clinical aids for diagnosing myxedema coma, thyroid hormone replacement, and the use of steroids in endocrine emergencies.
01:24:07
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Quick takeaways
- Adrenal crisis in hypothyroidism requires prompt administration of high-dose steroids to prevent complications.
- Mixed edema coma is characterized by altered mental status, hypothermia, and hyponatremia; prompt treatment with IV levothyroxine is essential.
Deep dives
Adrenal crisis in hypothyroidism
Adrenal crisis can occur in patients with hypothyroidism, especially those with concomitant adrenal issues. It is crucial to recognize the signs of adrenal crisis and promptly administer high-dose steroids to prevent life-threatening complications.
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