91 results
Thyroid Goiter in Severe Hypothyroidism on Neck Physical Examination

TSH 124. Hashimoto’s, lost to care and thyroid
Goiter in Severe Hypothyroidism ... moves up with swallowing ... #PhysicalExam #clinical ... video #goiter #Hypothyroidism ... #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Insufficiency: ... insufficiency ... #Adrenal #Insufficiency ... Workup #Algorithm #endocrinology
CLINICAL MANIFESTATIONS 
OF ADRENAL INSUFFICIENCY. 

Primary and secondary adrenal insufficiency:
 - Tiredness, weakness, mental depression
CLINICAL MANIFESTATIONS ... OF ADRENAL INSUFFICIENCY ... and secondary adrenal ... insufficiency: ... - Secondary hypothyroidism
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
goiter moves with swallowing ... iodine #deficiency #endocrinology ... #clinical #video ... #neck #hypothyroidism
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Diagnosis Algorithm Clinical ... insufficiency ... insufficiency ... Diagnosis #Algorithm #endocrinology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
GI losses • Renal ... Hormonal changes • Hypothyroidism ... • Adrenal insufficiency ... polydipsia • Insufficient
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
GI losses • Renal ... Hormonal changes • Hypothyroidism ... • Adrenal insufficiency ... polydipsia • Insufficient
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... Diagnosis Algorithm Clinical ... insufficiency) ... insufficiency; ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... BCM_InternalMed #Adrenal ... #Insufficiency ... #Stimulation #endocrinology
Causes of Hypermagnesemia
Increased magnesium load
 - Magnesium-containing laxatives, antacids, or enemas
 - Treatment of pre-edampsia/eclampsia (mothers
Rhabdomyolysis Increased renal ... hypercalcemia - Hypothyroidism ... Mineralocorticoid deficiency, adrenal ... insufficiency (