Basics of Adrenal Insufficiency

Learn the clinical presentation, diagnostic evaluation, and management of adrenal
insufficiency in this detailed video from endocrinologist Dr. Om Lakhani.

This educational lecture covers key topics like:

1. Recognizing the signs and symptoms of adrenal insufficiency - fatigue, nausea, weight loss,
hyperpigmentation, hypotension, hypoglycemia, hyponatremia.
2. Understanding the pathophysiology - impaired cortisol production from dysfunction of the
hypothalamic-pituitary-adrenal axis.
3. Diagnostic testing - baseline AM cortisol, ACTH stimulation test, DHEA-S, electrolytes,
ACTH level.
4. Treating adrenal crisis - IV hydrocortisone, saline, glucose.
5. Replacement therapy - oral hydrocortisone, prednisone, fludrocortisone.
6. Differentiating primary, secondary, tertiary adrenal insufficiency.
7. Managing special cases like Sheehan's syndrome and exogenous Cushing's syndrome
leading to adrenal suppression.
This in-depth tutorial from Dr. Lakhani is valuable for phvsicians, residents, medical
students, and allied health professionals managing adrenal disorders