Browsing: Endocrinology

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Endocrinology

A Cold Case: Management of Severe Hypothyroidism

10/10/2023 Timothy Cofer, DO , Seth Merker, MD
Severe hypothyroidism is commonly referred to as “myxedema coma.” However, patients with this condition are often not comatose and do not have edema. Rather, they are most notably recognized by declin
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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%.

#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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