Learn the clinical presentation, diagnostic evaluation, and management of adrenal
insufficiency in this detailed video from endocrinologist Dr. Om Lakhani.
This educational lecture covers key topics like:
1. Recognizing the signs and symptoms of adrenal insufficiency - fatigue, nausea, weight loss,
hyperpigmentation, hypotension, hypoglycemia, hyponatremia.
2. Understanding the pathophysiology - impaired cortisol production from dysfunction of the
hypothalamic-pituitary-adrenal axis.
3. Diagnostic testing - baseline AM cortisol, ACTH stimulation test, DHEA-S, electrolytes,
ACTH level.
4. Treating adrenal crisis - IV hydrocortisone, saline, glucose.
5. Replacement therapy - oral hydrocortisone, prednisone, fludrocortisone.
6. Differentiating primary, secondary, tertiary adrenal insufficiency.
7. Managing special cases like Sheehan's syndrome and exogenous Cushing's syndrome
leading to adrenal suppression.
This in-depth tutorial from Dr. Lakhani is valuable for phvsicians, residents, medical
students, and allied health professionals managing adrenal disorders
