Endocrine / Metabolic Archives - Page 4 of 4 - The Emergency Medical Minute

Endocrine / Metabolic

Podcast #48: Alcoholic Ketoacidosis

Run Time: 4 minutes Author: Dr. Eric Miller Educational Pearls: Alcoholic ketoacidosis occurs in chronic alcohol abusers who have low glycogen supplies and are dehydrated causing an overproduction of glucagon. This condition is very similar to diabetic ketoacidosis. The patients can have a ketotic smell to indicate alcoholic ketoacidosis, they also usually have a high…

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Podcast #44: Myxedema Related Bradycardia

Run Time: 2 minutes Author: Dr. Susan Brion Educational Pearls: Myxedema is generally thought of as severe hypothyroidism. Presentation of myxedema is usually manifested with bradycardia, altered mental status, hypothermia, and swelling to the face. The patient’s labs will usually show hyponatremia, hypoglycemia, as well as some indication of primary or secondary hypothyroidism. Treatment is IV hydrocortisone…

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Podcast #10: Thyroid Storm & The Thyroid Don’t Get No Respect

Run Time: 11 minutes Author: Dr. Donald Stader Educational Pearls: Thyroid literally means shield and is important for growth and cortisol/adrenaline modulation. Hyperthyroidism puts the body in a hypercatabolic state causes agitation, fine tremors, tachycardia and Atrial Fibrillation. Iodine – like the kind given for a contrast CT scan – has been associated with precipitating…

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