Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Endocrine Emergencies

Video Transcription

Video Summary

The session covers critical care topics for the ABIM exam, focusing on renal, metabolic, and endocrine emergencies, which constitute 15% of the blueprint. Endocrine emergencies discussed include thyroid disorders such as thyrotoxicosis and thyroid storm. Thyroid storm requires blocking thyroid hormone synthesis, diminishing end-organ effects, and managing complications like fever and hypertension. Myxedema coma, characterized by low thyroid hormone levels, also demands prompt ICU care and hormone replacement. Hyperglycemic syndromes like DKA and hyperosmolar hyperglycemic states necessitate fluid replacement and insulin therapy. Adrenal insufficiency, often seen in critical illness, is presented, emphasizing stress-dose hydrocortisone. Pituitary emergencies like diabetes insipidus and hypernatremia require hormone and fluid replacement. Lastly, pheochromocytoma management involves blood pressure control and pre-surgical preparation. Key takeaways include the critical management steps for thyroid function, DKA, adrenal insufficiency, diabetes insipidus, and hypertensive crises in pheochromocytoma.

Keywords

thyroid storm

DKA

adrenal insufficiency

diabetes insipidus

pheochromocytoma

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