Question 8: @ 28:10 I believe hydrochlorthiazide may cause hypercalcemia. So you do not use it to treat hypercalcemic pts. Rather use it for hypercalciuric patients.

Love your lectures! Preparing for my 3rd PA Board exam and these videos have been an excellent review for me. Thank you.

Thank you for the great production!

Really great lectures, thank you Dr. Bolin!

Thank you for your videos!

Question 15. Sheehan's syndrome with history of normal deliveries? I expected a history of PPH at some time in previous pregnancy. Also, does not say 6 months after delivery in question.

@ben005dr

2 жыл бұрын

And all two previous pregnancies also she had similar breast feeding issues🤔,

thank you.

For Question 12, for patients with a Hba1c>9, I'm pretty sure you **ADD insulin therapy to his current regiment, not switch to insulin. He should still be on his oral meds.

For Question 11, seeing that the patient is on hydrochlorothiazide and has 2 high fasting glucose values, would the first step be to switch out the thiazide and use something else like an ACEi to treat her hypertension instead of diagnosing her with T2 DM? *Edit: I'm wondering if her high BGL is actually caused by the thiazide.

@Sveccha93

Жыл бұрын

Ppn

Question 7 : Why is the best initial a low dose dexamethasone suppression test? Couldn't it equally be a serum cortisol? I have failed to find any source that specifically states that one is better than the other initially. Great video, thanks!

@Hiwottt

6 жыл бұрын

No, I think with out the suppression test, we can't surely say cortisol is elevated because any stress can raise the level of cortisol ( serum cortisol is non specific). So we have to use the suppression test that would normally suppress the production of cortisol, and if still cortisol level is elevated we can say it's Cushing syndrome .

@eugeniosramos

6 жыл бұрын

The other option would be a sample of the salivary cortisol at 23h00. Serum cortisol is a 2nd line test, and the pt would have to have it drawn at 23h00-00h00.

Hello Dr I have a question on question 4 why is the diagnosis hyperplasia in question 3 you suggested pheochromocytoma so when you chose Men 2 why did you say it was hyperplasia and not stick with pheochromocytoma. Did you misspeak or did I miss something? Thank you very much

@ayenewsewnet7927

7 жыл бұрын

ebonydragonfly ....I agree on ur questions too

@Zain.Basi1

6 жыл бұрын

She has both.. At first we knew that the patient has pheochromocytoma (severe hypertension) ..and after the test revealed elevated calcium, it suggests hyperparathyroidism as in hyperplasia .. so what causes both pheochromocytoma and PT hyperplasia? It’s MEN2A

wrong - ABIM Uworld - for thyroid nodules - unless otherwise stated - if TSH normal - next step is RAIU to go between hot or cold nodules -- if hot nodule, no need for FNA -- if cold, yes def. do FNA -- might wanna update to 2021 guidelines.

Can an uncomplicated pregnancy cause Shehan's syndrome. PPH is a complication of pregnancy.

propylthiouracil*

Is this for Step 1 or Step 2?

@mohiuddinalfarra5440

6 жыл бұрын

likeaprayer123 2

Done.thaibinh 7/5/2019

Join the CME & CPD Accredited 11th Edition of International Conference on Endocrinology during August 9-10,2018, at Madrid, Spain. Visit: goo.gl/q4TH17

MO

💉🤣🤣🤣🤣😭😭😭😷