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Step 1
stress dose steroid
related:
Endocrine
tags: #note
hydrocortisone 200 mg/day
50 mg q6h
100 mg q8h
perioperative
give stress dose steroids for chronic prednisone patients
https://www.uptodate.com/contents/the-management-of-the-surgical-patient-taking-glucocorticoids
perioperative
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Endocrine
Endocrine
related:
Medicine
MKSAP
Disorders of Glucose Metabolism
Disorders of the Pituitary Gland
Disorders of the Adrenal Glands
Disorders of the Thyroid Gland
Reproductive Disorders
Transgender Hormone Therapy Management
Calcium and Bone Disorders
Pituitary
pituitary adenoma
inappropriately normal TSH could be sign of central hypothyroidism
pituitary apoplexy
MEN
hyperprolactinemia
Adrenal Crisis
adrenal crisis
related:
Endocrine
tags: #note
Symptoms
tachycardic, hypotensive, may need pressors
Diagnosis
Low Na, high K
Na 130s, K > 5
primary adrenal insufficiency
secondary adrenal insufficiency:
exogenous steroids
pituitary surgery, radiation, trauma
pituitary mass
hypophysitis: checkpoint inhibitors
Treatment
stress dose hydrocortisone:
stress dose steroid
taper off as soon as possible based on clini
Pituitary Apoplexy
pituitary apoplexy
related:
Endocrine
tags: #note
Symptoms
nausea, vomiting
sudden onset, worst headache in life
eye symptoms: diplopia
tachycardia, hypotensive
Diagnosis
normal vs apoplexy
CT does not diagnose 50% of the time, order MRI head if suspecting apoplexy
Treatment
neurosurgical and