Keywords: Hypothyroidism, treatment (PubMed Search)
Treatment of Severe Hypothyroidism
We do not see patient's with severe hypothyroidism often, but it is important that they be treated aggressively. Some treatment pearls are
Keywords: DKA, Management (PubMed Search)
Diabetic Ketoacidosis Treatment:
Charfen MA, Fernadez-Frackelton M. Diabetic Ketoacidosis. EMCNA 2005:609-628.
Keywords: Hypercalcemia, Hyperparathyroidism (PubMed Search)
Medical Treatment of Hyperparathyroidism
Keywords: hyperparathyroidism, hypercalcemia (PubMed Search)
Hyperparathyroidism results in elevated PTH and typically results in elevated calcium levels (hypercalcemia).
Though most cases are asymptomatic, symptomatic patients can present with:
Treatment options to be discussed next week....Stay tuned.
Keywords: Hypothyroidism, Elderly (PubMed Search)
Apathetic Hypothyroidism AKA Hypothyroidism in the Elderly
Remember that elderly do not present with classic signs and symptoms of hypothyroidism, but rather it is more common for them to have atypical presentations.
Things that make the diagnosis more difficult in the elderly are:
Consider the diagnosis in elderly patients with:
Thyroid disorders in elderly patients.
Rehman SU, Cope DW, Senseney AD, Brzezi
South Med J. 2005 May;98(5):543-9. Review.
Keywords: Cushing Syndrome (PubMed Search)
The most common cause of Cushing syndrome is the use of exogenous glucocorticoids, and it is rarer to have a problem with the hypothalamic-pituitary-adrenal axis.
These patients can present with:
For the emergency department we need to be worried about those on chronic steroids that can not increase their native steroid production in a time of stress which will lead them to adrenal crisis.
Pearls for those with Cushing Syndrome: