Відео

Drugs ( pre-meal and post meal)-11:05 average dose required-28:25

Once tsh is achieved should we decrease the dose After how any months of stable tsh

sir if the patient has only dylipidaemia and age 68 yrs and TSH 7.2 what to do repeat or start treatment.. rest everything is normal

Awesome cases..need morr cases of real life..👍

Notes in Endocrinology app not found in playstore?

Centurian insulin app is not available in playstore for long time...how can we get it?

How to get a consultation? Thank you

How can I get a consultation? Thank you

Difference between Gliclazide ER and MR when to prescribe it ?

MD final year resident here ! Came across this page , attended this lecture, extremely thankful for this sir. Great work.

Sir. Make vedio of real life cases and apply such formulas.. Awesome job 👍

Can we add low dose aspirin??

What about open evidence?

Great video congrats and thank you.

When will the App come back?

Your class is always so informative sir.Thanks a lot for making everything too easy to digest.Please take a class on pubertal changes and DSD

Can i get this presentation Sir

Sir can you please tell what is maximum dose of basal insulin that can be given to a person before changing it to basal plus regimen

🙏🏻🙏🏻 sir take class on Type 1 DM, invest,, management nd treat protocol 🙏🏻🙏🏻

Concise discussion. Thank you so much.

Exallent and extraordinary message for doctors thank you very much sir 🙏

I wish i could be like you ❤❤❤❤❤

Sir really helpful.. Should we treat subclinicle hypothyroidism if positive family history of autoimmune diseases?? 2nd.. one of my patient was taking 150ug thyroxine for overt hypothyroidism ... Now presentes after 2year with signs thyrotoxicosis ...what approach should be used ??? For how long thyroxine should be stopped?? Or we should use block and replace regimen??

Many thanks .. very clear and concised

My sincere thanks to you for the comprehensive discussion.

Wow. Awesome.

Beautiful presentation

Thank you so much for this explanation I am finding TUDCA very beneficial - DMT2 seems to be linked to premature birth as a causal factor in ER Stress

Outstanding lecture...sir...thank you so much

Great sir

Very informative video👏 ..Sir can you suggest some apps for general practice (disease with treatment)

Sir thank you so much for ur classes... So helpful practical points r being discussed thru ur videos.. 🙏

Sir 🙏🏻🙏🏻 Take class on type 1 diagnosis nd management Plzzz sirrr🙏🏻🙏🏻

Thankyou sir... very helpful.🙏

Thank u sir 😊

Very informative.. thanks sir

Excellent … thanks sir

You are a great doctor ❤❤. Very excellent teaching

❤

Thanks

Acarbose, doesn't have long term safety data, for its usage in DIP. Are you comfortable with its usage in DIP

🎯 Key points for quick navigation: 00:01 *📋 Introduction and Importance of Adrenal Insufficiency* - Adrenal insufficiency is a critical condition, often overlooked. - It can be a life-and-death matter if untreated. - Misdiagnosis is common, but recognition and treatment are straightforward. 02:18 *📚 Basics of Adrenal Insufficiency* - Overview of the Hypothalamic-Pituitary-Adrenal (HPA) Axis. - Explanation of hormone releases: CRH from the hypothalamus, ACTH from the pituitary, and cortisol from the adrenal glands. - Cortisol’s role in stress response and its negative feedback mechanism. 05:37 *🏥 Types of Adrenal Insufficiency* - Primary adrenal insufficiency: Issues with the adrenal glands. - Secondary adrenal insufficiency: Pituitary gland problems. - Tertiary adrenal insufficiency: Hypothalamus-related issues. - Examples of conditions and surgeries leading to each type. 08:43 *💊 Drug-Induced Adrenal Insufficiency* - Medications can cause primary, secondary, or tertiary adrenal insufficiency. - Examples: Ketoconazole, Eplerenone, Rifampicin, steroids, narcotics, and anabolic steroids. - Emphasis on steroids and their impact on the HPA axis. 11:14 *🔬 Diagnosing Adrenal Insufficiency* - Importance of morning serum cortisol levels. - Interpretation: Less than 3 μg/dL indicates insufficiency, 3-5 μg/dL is indeterminate, more than 5 μg/dL is likely normal. - Follow-up tests include DHEA-S levels and ACTH stimulation test. 15:07 *📈 Evaluating the HPA Axis* - Understanding cortisol and DHEA-S levels. - Using age-specific DHEA-S values to determine adrenal insufficiency. - Ratio analysis: DHEA-S value divided by the age-specific lower limit to assess adrenal function. 23:08 *🌬️ Non-Oral Steroids and Adrenal Insufficiency* - Inhaled steroids can cause adrenal insufficiency due to systemic absorption. - Intra-articular steroids can potentially cause adrenal insufficiency. - Management strategies for adrenal insufficiency in different settings, such as acute adrenal crisis and chronic conditions. 26:31 *🧪 Case Studies Illustrating Adrenal Insufficiency* - First case: A patient with exogenous Cushing syndrome and tertiary adrenal insufficiency. - Signs include moonlike face, striae, and low morning cortisol. - Importance of recognizing steroid abuse and proper history-taking in diagnosis. 32:13 *🏥 Recognizing Secondary Adrenal Insufficiency* - Second case: A patient with a history of pituitary surgery leading to adrenal insufficiency. - Symptoms include hyponatremia and a low response to ACTH stimulation test. - Emphasis on cortisol testing and understanding pituitary surgery’s impact. 37:59 *🔍 Primary Adrenal Insufficiency and APS Type 2* - Third case: A patient with significant weight loss, skin darkening, and hypothyroidism. - Diagnosis of autoimmune polyendocrine syndrome (APS) type 2. - Typical lab findings: low cortisol, high ACTH, hyponatremia, and hyperkalemia. 41:11 *📝 Summary and Key Takeaways* - Key indicators for suspecting adrenal insufficiency: unexplained weight loss, darkening of skin, hyponatremia, and hypotension. - Importance of baseline cortisol and DHEA-S testing. - Referral to endocrinologists for confirmed adrenal insufficiency cases. Made with HARPA AI

Are steroids addictive also ?

Quite informative and well explained by Dr O J L. Thank you

Brother also make vdeos on CAH, AIS, and DSDs ,plz make it

Nice and very well compiled. Keep enlightening us🙏🙏🙏

Useful and interesting discussion. Thank you so much. Should we give replacement dose of glucocorticoid at at a time in the morning or in divided doses?

So is UDAPA XR tablet sglt2 inhibitor for diabetic type 2 good for heart and kidneys ??

So nice doctor, really thankful for case based scenarios