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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

sir what is the association of glucose level and thirst ,please reply

Side effects are inevitable however do we have inputs on the long-term use of SGLT 2 drugs ?

Sir EndoAi page not working... It's showing page not found

Impressive Presentation. What kind of help / work do you expect from Software Engineer while implementing these use cases?

Can we give bolus iv

Very excellent lecture... Thank you so much sir....

Excellent, very useful

🙏🏻🙏🏻🙏🏻 Vudeo on.... Approach nd management nd treatment protocol for type 1 DM

The diabetilogy .co.in is good ...I felt adding one question on heart failure status ... known weight and recent weight , old drugs. Will help

Very good teaching,I have learnt valuable information.Thank you.

Good morning sir, iam fan of your talks 💯 informative 👍 topics, thank you very much.

Well taught

❤

YOU ARE A GOOD TEACHER .THANKS

By chewing a significant proportion might be absorbed in systemic circulation and little left to act on bruh boarder . what is your take on this issue

In CDGP amh is normal for CA or BA

Thank you sir

Thank you sir

Centurion insulin app cannot be downloaded on newer Android phones: Samsung Galaxy A33. Pl guide.

first of all, I am big Fan of you... Sir would like to ask about role of Saroglitazar in managing Ectopic Fat in Liver...? if yes then what should be duration of therapy ?

Thank for taking the time to explain this complicated subject so clearly. As you state, there is so much nonsense floating around the Internet regarding this terrible disease.

We would like to also know about hypothyroidism and infertility

Sir how often should we check tft after starting medication…how long should we give anti thyorid drugs

Sir please make on treatment of euthyroid sick syndorme in ICU etc

🎯 Key points for quick navigation: 00:12 *🎤 Introduction to AI in Clinical Medicine* - Discusses practical applications of AI in clinical practice as of June 2024, - Highlights six key areas where AI can enhance clinical practice, - Emphasizes the accessibility and immediate relevance of AI tools. 03:02 *🏥 Using AI for Diagnosis: Case Study* - Demonstrates AI's capability in diagnosing complex cases using patient scenarios, - Shows AI's ability to interpret clinical data and provide accurate diagnostic insights, - Emphasizes the importance of clinical validation alongside AI-generated diagnoses. 08:51 *👁️ AI in Clinical Imaging: Diabetic Retinopathy* - Explores AI's role in interpreting medical images, specifically in diabetic retinopathy, - Compares custom-developed AI tools with commercial solutions like GPT-40, - Highlights AI's accuracy and potential in specialized medical imaging tasks. 14:19 *📊 AI in Report Interpretation: Fibroscan Example* - Illustrates AI's utility in interpreting complex medical reports such as fibroscan results, - Discusses the ease of using AI for quick and accurate analysis of diagnostic tests, - Shows practical applications for metabolic physicians in everyday clinical settings. 18:31 *🧪 Clinical decision support using custom GPT models* - Using custom GPT models to address clinical conundrums like vaccine administration, aspirin use, and statin therapy. - Provides guideline-based answers quickly and efficiently for common clinical questions. 19:00 *📊 Efficient extraction of key medical data from patient reports* - Simplifying the process of extracting relevant medical data from lengthy patient reports. - Focuses on extracting essential parameters like blood sugar, lipid profile, and thyroid function accurately and efficiently from PDF reports. 21:08 *🤖 Development of virtual agents in medical practice* - Introduction of virtual agents like a virtual dietician to streamline dietary advice and management. - Customizing dietary recommendations based on patient preferences, allergies, and medical history to enhance patient engagement and compliance. 25:35 *🍏 Apple shortcuts for summarizing clinical studies* - Utilizing Apple shortcuts with GPT Plus subscription to summarize clinical studies efficiently. - Provides concise summaries of research articles, saving time by extracting key points and practical implications directly to Apple Notes. Made with HARPA AI

You can use local model no need to be limited by gpt 4 and spend money on it .

Well explained

Every topic is explained very well. However it all boils down to what we eat . Eat foods made from the five positive millets. They are Foxtail Kodo Little Barnyard and Browntop Millets. Permanently quit eating Rice Wheat Maida Milk Sugar Jaggery Honey Dry fruits, processed foods, eggs and non vegetarian food. Please understand, the above mentioned five positive millets are not for people who have ailments but also for the so called healthy people. Padma Shri Dr.Khader Valli said " If the food is correct, no need of medicine. If the food is wrong then medicine is of no use '

Very​ clear​ ​cut​ 👍