Browsing: Endocrinology

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Endocrinology

Cloudy With a Chance of Thyroid Storm: A “Grave” Condition

9/15/2023 Alexa Van Besien, MD , Rakhi Desai, MD , Laura Welsh, MD , Andrew Mittelman, MD
Thyroid storm (TS) commonly occurs in patients with Graves’ disease. Its clinical manifestations overlap with many illnesses; therefore, diagnosis can be challenging. Prompt recognition and evaluation
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Pediatric EM , Endocrinology

Thyrotoxicosis: A Case of Storming Hormones

4/15/2023 Nhat Chau, MD , Anna Suessman, DO
Thyroid storm is an acute life-threatening condition of hyperthyroidism, characterized by high fever, dehydration, tachycardia or tachyarrhythmias, tremor, nausea and vomiting, diarrhea, restlessness,
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Endocrinology , Neurology

Uncontrolled Hyperglycemia as a Cause of Choreiform Movements

4/10/2022 Rabia Iqbal, DO , Jordan Miller, DO , Nicholas LaFountain, MD
Although rare, chorea-hyperglycemia-basal ganglia syndrome is a presenting symptom of uncontrolled diabetes mellitus.
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Pediatric EM , Endocrinology

Pediatric Emergency Management of Adrenal Insufficiency and Adrenal Crisis

2/12/2022 Amal Malik , Elizabeth Quaal Hines, MD
Adrenal insufficiency (AI) is a rare diagnosis in childhood and adolescence; however, it can become a major cause of morbidity and mortality in pediatric patients.
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Endocrinology

Bilateral Adrenal Hemorrhages Due to Pheochromocytomas and MEN2A Syndrome

8/10/2021 Kevin Vinokur, DO , Christopher Mendoza, MD, MA, FACEP
Multiple endocrine neoplasia (MEN) syndromes are rare, inherited disorders, and adrenal hemorrhage is a rare cause of abdominal pain. We present a case of bilateral adrenal hemorrhages due to pheochro
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Cardiology , Endocrinology , Toxicology

Euglycemic DKA and Hyponatremia Caused by a Commonly Prescribed Diabetic Medication

8/10/2021 Aaron Tiffee, MD, FACEP , Daniel Stout, MD , Taylor Curry
SGLT-2 inhibits can cause massive osmotic diuresis and intravascular volume depletion. The body’s appropriate response to this is production of antidiuretic hormone, an excess of which is capable of c
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Neurology , Endocrinology , Social EM

Nonketotic Hyperglycemic Hemichorea: A Bad Case of the Wiggles

12/1/2020 Ideen Zeinali, MD , Matthew Edwards, MS , Giuliano De Portu, MD, FACEP
One of our nation's greatest health challenges is the management of type 2 diabetes mellitus, which is expected to swell by more than 50% by 2035. Many of these diabetic patients will lack both primar
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Pediatric EM , Endocrinology

A Sugar Rush: Managing Pediatric Diabetic Ketoacidosis

10/10/2019 Cindy Chang, MD , Jessica L. Chow, MD, MPH , Ilene Claudius, MD, FACEP
Review 3 cases and string together 6 quick management pearls to help you keep on your toes when a child comes into the ED with diabetic ketoacidosis.
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Endocrinology , Critical Care

Thyrotoxicosis: STEMI plus Acute Psychosis

12/15/2018 Andrew Connor, DO , Sarah E. Fabiano, MD, FACEP, FAAEM
A thyroid storm is an acute, life-threatening emergency that requires timely recognition and management. Left untreated, the mortality rate is 80-100%.
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Endocrinology

Case Study: Abdominal Pain and Unusual Catastrophic Diagnosis

4/17/2018 Ahmed Raziuddin, MD , Maria Ahmed, MSIV
Spontaneous bilateral adrenal hemorrhage is hard to catch - making it more critical to begin appropriate treatment as soon as possible upon diagnosis.

#FOAMed and External Sources

The Rate of Resuscitation in Pediatric DKA

Emergency Medicine Literature of Note 06/14/2018

Thyrotoxic Periodic Paralysis

HQMedEd.com 06/06/2017

Peds I- Inborn Errors of Metabolism and Endocrinology

EM Clerkship 02/11/2018

The basics of blood gases

Don't Forget the Bubbles 04/06/2022
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