Our #residents got to learn about #syncope & #adrenalinsufficiency today from Rising Chief @LizzyHastie, Chief @photon_ick, & Endo-enthusiast @tsantoscavaiola!!
Check out some highlights below we wanted to make sure we shared with our #MedEd peeps on #MedTwitter!!
Check out some highlights below we wanted to make sure we shared with our #MedEd peeps on #MedTwitter!!
Don’t forget about adrenal insufficiency!! For patients with things like #syncope or #hypotension, it’s easy to forget about cortisol as a cause! While things like dehydration, infection, & other things may be more common overall… AI is #treatable, so make sure you catch it!!
Primary AI = #adrenal glands themselves are the problem. This means #cortisol AND #aldosterone will be low, while #ACTH AND #Renin will be very elevated in attempt to remedy this!
Secondary AI = the #pituitary gland is the culprit. Low #ACTH leads to limited adrenal stimulation, thus low #cortisol. #Aldosterone & #Renin aren’t really impacted by this, as their RAA axis is distinct!
Other things that may help you distinguish primary & secondary AI can be broken down in this #IllnessScript Venn Diagram!! Take a swing at placing the different components in their appropriate sections!! @LukewebsterMd @daniellemunceMD @DirkGainesMD @AlexCypro @SimerjotJ
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