Endocrinology
Morning Report: Thyroid Storm
Thanks to Dr. Brown for presenting today’s Morning Report! Case presentation: 46 y/o F with no sig PMH presented to ED with chief complaint of vomiting and weakness. HR 132, RR 20, Temp 99.6, BP 185/75, and O2 100% on RA. Not too much history, kind of delirious. PE Read more…
Endocrinology
Morning Report: Lactic Acidosis – A Misnomer
Here’s Dr. Nordstrom with today’s Morning Report! The Case: 69 M with history of HTN and DM presents with 1 day of nausea and vomiting. Pt says he woke up in the morning and after breakfast started feeling dizzy and lightheaded. Vomited 10+ times until he came into ER. Denied Read more…
Endocrinology
Morning Report: Thyroid Storm
Sorry for the delay but here’s another Morning Report presented by Dr. Louis! Thyrotoxicosis / Thyroid Storm Thyrotoxicosis: Hypermetabolic syndrome secondary to excess synthesis and secretion of thyroid hormones. Most common forms of hyperthyroidism being Graves disease, toxic multinodular goiter, and toxic adenoma. Common Signs & Symptoms: Read more…
Endocrinology
Morning Report: Approach to the Complicated Metabolic Acidosis
Here’s Dr. Freedman with today’s Morning Report! Delta Force An approach to the possibly complicated metabolic acidosis 1st What’s primary? Compensation is alright, but its never enough Ph? What’s the respiratory system doing? 2nd Gapped or non-gapped? Normal AG? Gapped MUDPILES But what are they really? Left Total Read more…
EM-Critical Care Endocrinology
Thyroid Storm
So in this week’s ICU conference EMS calls in for a notification that there is a 55 yo woman comes in who has a HR of 173, BP 140/91, RR 22, PO2 99% T of 100.1 with multiple AICD discharges. It was a great case with a great EKG. After Read more…