In today's AM report, Dr. Hanna presented a very interesting case of a patient with Thyrotoxic periodic paralysis. Key learning points: The diagnosis of Thyrotoxic periodic paralysis (TPP) is made when a patient presents with infrequent paralytic attacks and is…
Thank you Dr. Thetford for an excellent case presentation on primary adrenal insufficiency! Key Learning Points: Have a high suspicion for adrenal insufficiency in those with: Present with constellation of symptoms (dizziness, fatigue, n/v/d, orthostasis, hyperpigmentation) Electrolyte abnormalities (classically low…
Thank you Dr. Kumar for an excellent case presentation on vitamin B12 deficiency secondary to pernicious anemia in a patient with Graves' disease and Vitiligo. Key Learning Points: Remember: B12 (cobalamin) levels are neither sensitive nor specific for the diagnosis…
This classic, often-cited article informs us that among patients in the ICU, intensive glucose control of 81-108 increased mortality as compared to a more liberal glucose target of <180. How have you applied the findings of this research to your…
Does hydrocortisone decrease mortality in patients with septic shock?
Sepsis continues to affect 1.5 million people and lead to 250,000 deaths in the U.S., according to the CDC. The CORTICUS study reviewed here (article below) is the landmark study evaluating the potential benefit of corticosteroids in septic patients. As…
Definition: thyrotoxic crisis or thyroid storm refers to the life-threatening exacerbation of thyrotoxicosis accompanied by fever, delirium, seizures, coma, vomiting, diarrhea, jaundice Typical Presentation: Tachycardia, tremor, goiter, warm skin, lid retraction, exophthalmos, pretibial myxedema, Irritability, Heat intolerance and sweating, Palpitations,…