commit 786312f95e54bcf528f6dddb292f6512698c3aef
parent de9a171327fc9c041c128788f0420e55ee135d44
Author: Beau <cbeauhilton@gmail.com>
Date: Thu, 28 Oct 2021 11:24:51 -0500
rearrange for clarity
Diffstat:
1 file changed, 2 insertions(+), 7 deletions(-)
diff --git a/learn/2021-10-28-adrenal-disorders.md b/learn/2021-10-28-adrenal-disorders.md
@@ -25,19 +25,14 @@ Sheehan - ACTH zero, cortisol zero, ACTH stim will be normal (no time yet for at
post-op, infx, hemorrhage, mets, autoimmune
-## Secondary adrenal insufficiency (central)
+More electrolyte abnormalities d/t aldosterone problems (ENAC -> K up, Na down, also some vessel tonicity -> HoTN)
+## Secondary adrenal insufficiency (central)
E.g. chronic steroids (causes 1, 2, 3 of AI are iatrogenic d/t steroid use), Sheehans
-
-### Sx
-
ACTH cleaved to POMC, melanocortin -> hyperpigmentation (palms more specific)
-Electrolyte abnormalities - aldosterone problems (ENAC -> K up, Na down, also some vessel tonicity -> HoTN)
-
-
### Primary AI tx
Prefer hydrocortisone,