ADRENAL INSUFFICIENCY ADRENAL CRISIS

Apr 16, 2013

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ADRENAL INSUFFICIENCY ADRENAL CRISIS

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ADRENAL INSUFFICIENCY

ADRENAL INSUFFICIENCY. MA EMS Protocol Update 2010. About This Presentation.

2.37k views • 68 slides

Adrenal insufficiency in critically ill patients

Adrenal insufficiency in critically ill patients. Dalal Abdelgadir R2 pediatics. Objectives . To review normal physiology of adrenal gland and glucocorticoids Normal adrenal response to stress Adrenal insufficiency in critical illness: pathophysiology and incidence

1.02k views • 53 slides

Adrenal Insufficiency

Adrenal steroids and Pathways. . Cholesterol. Pregnenolone. Progesterone. Aldosterone. Mineralocorticoid. 17-hydroxypregnenolone. 17-hydroxyprogesterone. Cortisol. Glucocorticoid. Dehydroepiandrosterone. Androstenedione. Androgens. 21-hydroxylase. 21-hydroxylase. . . . . . .

1.16k views • 54 slides

Relative Adrenal Insufficiency Syndrome

Relative Adrenal Insufficiency Syndrome. J.J.M Lightenberg and J.G. Zijlstra By R 詹毓哲. Introduction. “ Physiological ” dose of steroid in septic shock => decrease mortality, reduce time to shock reversal. “ Relative adrenal insufficiency syndrom ” :

530 views • 17 slides

ADRENAL INSUFFICIENCY ADRENAL CRISIS

Introduction. Medulla secretes epinephrine and norepinephrine into adrenal veins when stimulatedCortex secretes steroids regulating metabolism, vascular tone, cardiac contractility, TBW/Na/K balance, androgenic function. Adrenal Physiology. Cyclic secretion controlled by time of day, HPA axis, renin-angiotensin system, serum potassium levelsStress increases basal glucocorticoid and mineralcorticoid levels 5-10 foldOccurs within minutes.

833 views • 30 slides

Emergency Care: Addisonian Crisis & Adrenal Insufficiency

Emergency Care: Addisonian Crisis & Adrenal Insufficiency. Addisonian Crisis. Addisonian Crisis is an acute exacerbation of symptoms in someone with Addison’s disease (namely adrenal insufficiency)

614 views • 11 slides

ADRENAL INSUFFICIENCY

ADRENAL INSUFFICIENCY. NONSO EMEGOAKOR ENDOCRINOLOGY UNIT. Discuss the aetiology, clinical presentation, investigation and treatment of adrenal insufficiency. Outline. INTRODUCTION HPA AXIS Renin angiotensin , aldosterone axis Aetiology Clinical presentation Investigations Treatment

911 views • 32 slides

Adrenal

Coping with. Adrenal. Location and Function. located above the kidney important for stress situations Medulla releases adrenaline cortex releases: glucocorticoids mineralocorticoids sex hormones. Adrenal Cortex. Malfunction Addisons Disease (hyposectretion) Characterized by:

453 views • 16 slides

Adrenal Crisis

Adrenal Crisis. Nicole Wilde UNC Morning Report 5/18/10. Adrenal Crisis: Acute Adrenal Insufficiency . Primary Adrenal Insufficiency Serious infection Acute stress in previously undiagnosed cases No extra glucocorticoid therapy during infection Abrupt withdrawal from glucocorticoids

939 views • 9 slides

Perioperative Management Diabetes Mellitus Adrenal Insufficiency

Perioperative Management Diabetes Mellitus Adrenal Insufficiency. William Harper, MD, FRCPC Endocrinology & Metabolism Assistant Professor of Medicine, McMaster University. Perioperative DM References. An Update on Perioperative Management of Diabetes. Arch Int Med, 159:2405-2411, 1999.

700 views • 33 slides

Adrenal Insufficiency in ICU

Adrenal Insufficiency in ICU. Outer zona glomerulosa: site of mineralocorticoid production (e.g. aldosterone), mainly regulated by angiotensin II, potassium, and ACTH. In addition, dopamine, atrial natriuretic peptide (ANP) and other neuropeptides modulate adrenal zona glomerulosa function.

1.06k views • 50 slides

Adrenal insufficiency

Adrenal insufficiency. Anthony Worsham Best Practice Friday, January 14, 2011. Outline. Case Normal physiology Abnormal physiology Treatment. Case. ID: 43-year-old woman CC: increasing skin pigmentation and weight loss FMH: none Meds: none ROS: lethargy

737 views • 51 slides

ADRENAL INSUFFICIENCY

ADRENAL INSUFFICIENCY. Background. 1855 Thomas Addison-clinical syndrome characterized by wasting and hyperpigmentation Cause as destruction of the adrenal glands 1994 life-saving steroid replacement therapy developed-Kendall, Sarett & Reichstein. Epidemiology. Primary & Secondary

1.58k views • 78 slides

ADRENAL GLAND: Congenital adrenal hyperplasia & adrenal insufficiency

ADRENAL GLAND: Congenital adrenal hyperplasia & adrenal insufficiency. Dr. Amnon Zung Pediatric Endocrinology Unit Kaplan Medical Center. Congenital Adrenal hyperplasia – the beginning. 21-hydroxylase deficiency Classic: female pseudohermaphroditism (DSD):

995 views • 35 slides

Acute Adrenal Insufficiency

Acute Adrenal Insufficiency. Dr. Sohail Inam FRCP (Ed), FRCP Consultant & Head, Division of Endocrinology Armed Forces Hospital Riyadh. CRH. AVP. Renin substrate. Kidney. Renin. ACTH. Angiotensin I. Angiotensin II. Cortisol. Aldosterone. Androgens. CRH. AVP. Renin substrate.

1.04k views • 32 slides

Adrenal mass

Adrenal mass. Cushing’s Syndrome. Taylor Wofford September 18, 2009. Diagnosis. Excess glucocorticoid Timing of symptoms Severity of symptoms Cause of symptoms. Frequency of causes of Cushing’s syndrome. Hypothalamic-Pituitary-Adrenal Axis. Cushing’s Syndrome. Blood clots?

451 views • 18 slides

Acute Adrenal Insufficiency

Acute Adrenal Insufficiency. Alex Farhat. Objectives. Define relative adrenal insufficiency Understand who gets relative adrenal insufficiency. Understand how to manage “relative adrenal insufficiency” in the setting of sepsis. Case Problem.

285 views • 11 slides

Adrenal Insufficiency Global Clinical Trials Review H2 2015

This report provides an overview of Adrenal Insufficiency clinical trials scenario and top line data relating to the clinical trials on Adrenal Insufficiency. Report includes an overview of trial numbers and their average enrolment in top countries conducted across the globe

203 views • 5 slides

Reversible Stress Induced Cardiomyopathy in Adrenal Insufficiency

It’s evident in the literature that Addisonian crisis is tightly linked with cardiovascular manifestations, with very few cases reporting an associated between adrenal insufficiency and reversible cardiomyopathy. We report a case of a 57 years old lady who presented with an acute onset of adrenal insufficiency then developed severe heart failure that resolved post hydrocortisone administration. The clinical presentation, course of management and outcome will be discussed. Clinical Cardiology and Cardiovascular medicine welcomes all the Hypertension articles, heart transplantation case reports, Coronary angioplasty risk and many more.

46 views • 3 slides

ADRENAL INSUFFICIENCY

ADRENAL INSUFFICIENCY. MA EMS Protocol Update 2010. About This Presentation.

733 views • 68 slides

Endocrine investigation of a case of adrenal insufficiency

Endocrine investigation of a case of adrenal insufficiency. Patient’s particulars. Name XYZ Age 32 years Sex Male Occupation Serving sepoy (SSG) Address Muzaffarabad - Azad Kashmir Admitted to MH Rwp 03 Nov 2007. 5 days.

243 views • 22 slides

Adrenal Insufficiency

Adrenal Insufficiency: Evaluation and Management

755 views • 70 slides

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ADRENAL INSUFFICIENCY ADRENAL CRISIS

ADRENAL INSUFFICIENCY ADRENAL CRISIS

Presentation Transcript

ADRENAL INSUFFICIENCY

Adrenal insufficiency in critically ill patients

Adrenal Insufficiency

Relative Adrenal Insufficiency Syndrome

ADRENAL INSUFFICIENCY ADRENAL CRISIS

Emergency Care: Addisonian Crisis &amp; Adrenal Insufficiency

ADRENAL INSUFFICIENCY

Adrenal

Adrenal Crisis

Perioperative Management Diabetes Mellitus Adrenal Insufficiency

Adrenal Insufficiency in ICU

Adrenal insufficiency

ADRENAL INSUFFICIENCY

ADRENAL GLAND: Congenital adrenal hyperplasia &amp; adrenal insufficiency

Acute Adrenal Insufficiency

Adrenal mass

Acute Adrenal Insufficiency

Adrenal Insufficiency Global Clinical Trials Review H2 2015

Reversible Stress Induced Cardiomyopathy in Adrenal Insufficiency

ADRENAL INSUFFICIENCY

Endocrine investigation of a case of adrenal insufficiency

Adrenal Insufficiency

Emergency Care: Addisonian Crisis & Adrenal Insufficiency

ADRENAL GLAND: Congenital adrenal hyperplasia & adrenal insufficiency