Primary adrenal insufficiency (Addison's disease) - pathology, symptoms, diagnosis, treatment
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- čas přidán 9. 04. 2017
- What is primary adrenal insufficiency? Primary adrenal insufficiency is a condition where the adrenal glands don't produce enough hormones, like cortisol and aldosterone. Find our full video library only on Osmosis: osms.it/more.
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I have been practicing Medicine for 26 years and I still review the basics. This was awesome.
Thank you for being one of the seemly rare doctors that does this! It's a mark of excellence.
Do you happen to know the best initial vs gold standard test? Is the initial 24 hour urinary free cortisol and the definitive is the dexamethasone suppression test?
@@rachelgreenbaum6148 That’s for cushing’s syndrome not adrenal insufficiency
Your comment changed my day ! I worked as a doctor in another field for 3 years and now I’ll be going to work in the emergency section. My self confidence got so low that I had to repeat stuff again from med school , I thought something was wrong with me and I felt ashamed . Now I see this comment and I realised that this is how it works .
Agreed, I’m an endocrinologist and I love videos from OSMOSIS. Every time I have a weird case in my practice I recur to osmosis to review the basics again.
Wow. This was actually VERY informative as I’m about to get tested for Addison’s disease next week. It’s crazy because I was in the ER with acidosis at one point and a few months later I had low blood sugar issues 😳 now I’m dealing with low blood pressure, low potassium and orthostatic intolerance.
Hope our video was helpful, Kimmie! 🙏🏼
Same case with my husband, hospitalized several times due to seizures,low BP n low glucose level... don't know what to do
wait, in the video they say addisons causes high potassium, how do you have low?
@kshetrimayumm I hope you are doing well. How r u now. Did u get tested for ACTH,serum cortisol, and CBC?
@@osmosis EMERGENCY 🆘 I HAVE NON SMALL CELL LUNG CANCER ADENOCARCINOMA ,,I WAS ON KETRUDA immuno therapy and it is attacking the Adena glands in the upper kidneys so I cannot take it anymore, but THE KEYTRUDA will keep on attacking it. My question is, are they going to do a biopsy to see if the lung cancer metastasized to it or am I gonna die because of this can you please answer the question I am an old woman and I can take whatever you gonna say to me.
Your videos have been so helpful for me while in Nursing school. Weird side note, I could listen to your voice/videos all day! Thank you for these!
Wow, thank you, Kimberly! 😊
Thank you!!! Newly diagnosed and you all (all involved) explained everything well!
Glad our video helped, Cheryl! 😊
Excellent...kudos to all contributors
Great video, was diagnosed in 2019 just before covid (thankfully), with adrenal insufficiency. for 2 years they blamed weed(CVS) cyclic vomiting syndrome. my sodium hit levels of 110 risking brain damage. Lowest i got was 104 and i felt close to death. Felt like my innards were rotting. All it took was one blood test to find missing enzymes in my blood. I've had a few near death experiences from bleeding out, overdoses and adrenal insufficiency. but this was the worst, so much suffering for me and my family. Finally healthy at 5'9" 188 lbs and on hydrocortisone and fludrocortisone. Thanks very much for this scientific and well made video on Addison's
Addison’s since i was 17, that almost killed me (1996). Here are some tips that after 25 years can help. I am also a Type 1 diabetic since 2008. I am 43 now…
1. Salt. Don’t be afraid of it. Pickles, kimchi, sauerkraut, chips and salsa i know i know you all love it. It’s salty AF! Your body doesn’t process salt like normal people. Enjoy it and when you feel faint or light headed you are low on sodium.
2. Don’t over due water. I know you hear how much water you need but it’s bullshit. Drink when you’re thirsty, our ancestors for thousands of years didn’t sit around drink 20 gallons of water a day. The more water you drink the more you flush salt out of your system. Deadly, be careful.
3. Stress, don’t be afraid to take extra hydrocortisone when you’re sick or stressed. No need to overdue it but an extra pill here and there is a life saver.
4. Sleep, you have a rare disease that cause fatigue like a mother f’er. Get your sleep preferably 8 hours and when you need it trust me your body will tell you. Do not take your hydrocortisone too late in the day or it will keep you awake.
5. Eat clean! Do not put garbage in your body, it will affect your Addison’s. I find a paleo diet works amazing for me but I’m also a type 1 diabetic. Trial and error, do you. Stay away from junk food.
There is lots more but this is the important stuff. Good luck.
I totally agree.
Did the steroids cause your type 1?
@@venomx4093 they are not sure. But i was on waaaayyyy more than i am now so my face used to be crazy puffy. Type 1 runs in my family. Obviously not one has Addison’s. I’ve NEVER met another human in person who had Addison’s
@@K.Stroh_ My new dr thinks I have addison's, but he is digging DEEPER into it now. It has been a long journey of misdiagnosing and prescribing the wrong treatments from different doctors. His suspicion came after seeing my vitiligo and hyperpigmented skin along with my symptoms that started in 2015. He doesn't think addison's was the culprit. My labs had shown hypothyroidism in 2015, 2016, 2017 and nothing was ever mentioned about it. I was prescribed statins back then which cause kidney failure. I've heen studying up on hypothyroidism and addison's and now see why my new doctor is digging deep. He had asked if I was diabetic and if it ran in the family. I am not "yet" but since my pancreas is inflammed and my pancreatic enzymes are messed up, I suspect it is coming. I just went gluten free and started taking enzymes, hoping to cut this off before it gets too far gone.
@@K.Stroh_ I know steroids is the main treatment for addison's and thyroidism and long term use has been shown to trigger type 1 dyabetes.
Such an amazing summa summarum of all the tens of sources I collected info. Thank you so much! 😊
Glad it was helpful, JV! 😊
Thank you for the great illustration. I had been introduced to an patient today in hosital ward. He has symptoms like weakness, black pigmentations in hand and oral cavity, orthostatic hypotention,low bp etc. now it seems fully clear to me
We're glad that this helped! 🙏🏼
Oh my gosh, I was soooo happy to see Tanner at the end.
Thaaaaanks❤️❤️❤️❤️
I love osmosis 💛💛
Thank you for this video. Was diagnosed three years ago. This helps me understand what's going on in my body.
We're glad that this video helped 🙏🏼
I have Addison's and I just wanted so say Thank you soooo much fir explaining this so clearly.
Happy to help, Janwillem! 🙏🏼
you are amazingly talented...greater heights I pray
Thank you so much!
I have Addisons and this helped me understand it even more! thank you!
We're glad to help! 🙏🏼
best video which explains about adrenal gland and addisons disease as well..Thankyou.keep on making awesome videos
We're glad that you appreciate our video, Anastasia! Thanks! 💕
Thank you once again! Amazing video!
You're welcome, Miran! 🙏🏼
Had to watch this one several times
Thanks so much for this amazing and informative video as always!
Glad it was helpful! 😊
Love this person voice and understanding
Your videos are AMAZING - the information and animations are so so helpful! Thank you guys for all that you do!!! :D
Our pleasure, Sarah! 😊
Awesome video. Knew someone who just before her wedding (stress) went into adrenal crisis… very scary
Nursing student here your videos are so helpful and almost and exact copy of my lectures ( besides the detailed amount of patho you have)
Wow! Always our pleasure to help! 🥰
Just one word......... Thanks....... respect 🙏🙏
Thanks. When I got Addisons I never knew most of this. You didn’t mention loss of appetite. I got down to 85 lbs in my 20s had to take salt pills as well. And Doctors couldn’t tell me why I had so much trouble with sex. Ouchy!
And as a result of 40 years on steroids I have osteoporosis and diabetes1 as well as other autoimmune deficiencies.
Do you also have livelong medicatie?
@@topacybits3576 yes, unless I am healed.
Hello do you have digestive issues? 🙏
@@RealZayComojumping in here, hope you don’t mind, but that is one of my biggest issues. Dx with Addison’s, and hadn’t been able to have anyone explain why I have such massive digestive issues until now.
Loved loved loved the video
I hope m able to remember it ,i have read this topic in books million times yet m unable to retain it. Thanks alot for the video
Thanks, Zoe! We hope so too! 🙏🏼
You are my life saver , love you so much and keep going 👏🏽
Happy to help, Reem! 😊
I cant express how i feel right now, i had Herpes virus for years with no hope of getting cured until i came across Dr.Anii on CZcams who cured me with his herbal medication completely, kindly contact him for help.
very neceessary information about adrenal gland and it's desease. thanks very much. i wish you and your team succession on work
Thanks for the wonderful feedback! ❤️
Thank you so much for helping us in our study 💙
Always our pleasure, Fatima! 🥰
I was Dx with Addison's Diesease in 2019. I do not have the "funky tan". It was a relief to finally get answers to questions I have had most of my life.
Cool! Now I’m ready for the Endocrinology Exam!
Woohoo! We hope you ace the exam, Gabby! 🙏🏼
Thank u for making medicine easier .
Our pleasure, Yasmin! 🙌🏼
Thank you for this!
Our pleasure, Sarah! 💕
What a voice. Nice work.
Thanks for the compliment, Jude! 😊
Thanks ever so much for this.
all of this was fascinating to me.
Our pleasure, Ian! 😊
Very well explained.
Thanks, Veena! 💖
It was very helpful explanation, thanks a lot.
Glad it was helpful, Ahmad! 🙏🏼
Thanks.Excellent lecture.
We're glad that you liked it, Anis! 💕
thank you so much. this lecture saved me today😍
Glad to be of help, Nowshin! 😊
I cant express how i feel right now, i had Herpes virus for years with no hope of getting cured until i came across Dr.Anii on CZcams who cured me with his herbal medication completely, kindly contact him for help.
Excellent Review ..Thanks a lot😍
Our pleasure! 😊
Great video, thank you. I subbed.
Thanks! Glad you appreciate it! 🥰
I thought it was too complicated but after watching another video i found i could understand your video
Yaaaay! Glad to help, Joyleen! ❤️
My dog was diagnosed with Addison's Disease and we didn't know what it was until it she had a crisis. Now she's fine and on meds, but this video explains exactly what happened to her
You are a life savers .. thank you
Happy to help 😊
amazing work and very beneficial to the person like me to learn the basic medicine knowledge
Our pleasure, Ling! 😊
Great video .. Thanks a lot ❤
You're welcome, Avin! 😊
thanks a lot it helps me fully understand adrenal gland disorder
Glad it was able to help, Jerry! 😊
Thanks
thanks osmosis you make the medicine easy :)
Our pleasure! 🥰
Thank you, you helped me understand my disease
Glad to be able to help in our little way, Houda.
I cant express how i feel right now, i had Herpes virus for years with no hope of getting cured until i came across Dr.Anii on CZcams who cured me with his herbal medication completely, kindly contact him for help.
Bot spammer above me ^^^^
Thnx for fantastic lectures
Most welcome! ❤️
Ver nicely explained
Thank you! 💖
great work
Thank you, Homam! Cheers! 👍🏼
great vid!!!!
Thanks, Joseph! 🙏🏼
So so useful thanx 🌹🌹🌹
You're welcome, Kawan! 💕🥰🫀
Great info
Thanks, Sandra! ❤️❤️❤️
great video. Aldoesterone acts of the collecting duct rather than the DCT.
Nice catch! Thank you… this is why I always read comments before watching videos. Saves me from confusion
Thanks sir ❤️
Do you have a practice where I can come to? If not, what type of doctor do I need to find who understands these things? I'm pretty sure I have an adrenal tumor. Uncontrolled high blood pressure for years, headaches daily for years, and alkalosis. Please help
Currently taking care of a vented patient who we can’t get off pressors and just started solucortef… I know what to give but every now and then I like to review the basics and why we do what we do.
We hope that our video was able to help! 🙏🏼
@@osmosis yes it did! Got the patient off pressors and weaned the solucortef to prednisone already! Thank you for the info!
I have such a weird form of it and was diagnosed with f 12. I wish this shot would be easier to deal with cause every day feels like torture.
So we’ll explained thank you
Glad to help! 🥰
Hello I had my adrenal glands removed 30 years, I have Addison's disease. I have heard many clients with primary addison's, say they started using pregnenolone and their symptoms related to addison's really improved. What is your opinion of implementing pregnenolone into a regular supplement schedule? Do you think adding pregnenolone will make a difference?
great video 😎✌️
Thanks! 😊
How are metastatic and tuberculosis spread reasons for primary insufficiency
Love you osmosis ❤❤❤❤😘
Thanks for the love, Ahmmed! 🥰❤️🙏🏼
Have Addison’s Disease but have tumors on both Adrenal glands, needed a Adrenalectony on my left kidney. Need Urine and blood test every six months or so to monitor the one on the right.
I have Addison's disease! I'm 19 years old and was diagnosed in 2016. Nice to see more people being educated on this disease!
My cortisol level is too low in the test, what to do?
You need to see a specialist- an endocrinologist as soon as possible and have them do thorough testing.
@@shashikantchoudhary1015 consult a physician/ doctor
@@sw224 can this be mistaken for anxiety or similar disorders?
@@torahibiki adrenal insufficiency with Db1 is difficult to control. I need at least Double the insulin due to my cortisone tabs.
Good mnemonic for etiologies:
ASTHMA
A: auto-immune
S: Suddenly stopping Steroids
T: TBC
H: Hemorraghia/HIV
M: Metastasis
A: adrenalectomy
I think these are ranked based on prevalence too, but not too sure about that.
Thank you very much
🙌🏼
Hi there, medical student here. You covered this topic brilliantly. Bravo. Keep up the awesome work!
Once again, Osmosis produces an amazing video, they just keep getting better. You guys are truly the best medical CZcams channel out there.
Finally I learned the concept, keep up the great work Osmosis
the best medical channel for students in youtube! you have made my medical school life easier! thanks for the video! keep up the good work!
Love the way you explain this horrible disease. Thank you 🙏🏼
I have nothing to describe you with guys! 🖤❤️ u are just what medical students really really need
Your videos are literally saving my poor tired med student brain thank you so much!
Fantastic video .I cannot even express how good and helpful this was
Thanks for the personal touch and credit to the script writer at the end!
Glad you liked it! We're trying it out.
my 5 hours studying in 12 min lecture? JUST WOW!!!!
Thanks so much! It would be awesome if you and your friends could review us on our Facebook page. facebook.com/pg/OsmoseIt
Saima Rahman skxa
Always watch CZcams first to understand, then read
Loved this. It would be nice if there was a video to link to mental health difficulties associated with the condition.
You make learning fun! Love you osmosis!
As always...your videos are always fantastic!! I am amazed by your videos! Thank you so much for helping us especially the undergraduates:)
Please do a simplified version that I can share with my non-medical family!! It's wonderful but I need a simple way to explain it to friends and family!
Good job !
your way to simplify such a complicated rare disease is amazing !
keep going ..
I was so upset when i started seeing your videos popping up right as I was finishing graduate school, but now they're becoming increasingly more useful while studying for boards! Thanks so much for all you do.
We’re glad you’re finding the videos useful Ty_tastic! If you haven’t yet checked out our educational platform we have a bunch of tools, including unreleased videos, quizzes, and flashcards to help you prepare for your boards. You can sign up for a free trial of Osmosis Prime here: www.osmosis.org/
you guys are the best! THANK YOU SO MUCH FOR MAKING THESE VIDEOS!
Great videos, as a med student I can say that these videos are a big help, 1st watch your video, then I can read up more on the subject, love them. Keep up the good work!
Thanks so much! It would be awesome if you and your friends could review us on our Facebook page. facebook.com/pg/OsmoseIt
I couldn’t agree more. I am a pediatric endocrinologist and still like to review the basics, these guys are awesome explaining medical topics.
Amazing! Many thanks. Keep it up!
Wow. So didactic! Cheers from Brazil.
WOW! I am a Doctor of Chiropractic and you did a better job explaining this in your videos than my instructors did. KUDOS! and thanks for all the effort!
You are saving my life 2 days before my pathophysiology exam!! Thanks a lot ! Your videos are so awesome
Absolutely brilliant video, very clear and understandable. My son was diagnosed with this awful condition 27th July at the age of 8. This has been the most informative thing so far!thank you!
Amazing lecture. So precise and clear. Well done!
Thanks a lot this cleared up a lot in just 11 minutes!!
Thank you 😊 very well explained!
i really and deeply thank you for all of ur medical videos ,,, they really help,,
Great explanation! Thank you so much!
you guys are saving my life right now 😍😍😍
God bless you guys
these videos can give you enough mental picture of the topic and you can recall easily and swiftly during the tests as compared lectures with rich text slides. Great job.
plus you can watch them over and over again as opposed to revisions from big filthy books which is tedious dull and boring
You guys have done a wonderful job! Thank you all!
Thanks, Aqib! We’re glad you like the videos. If you want to further supercharge your medical studies, check us out on our website! In addition to having exclusive access unreleased videos (which include an 8-part series on ECG, a series on embryology, and unreleased videos on physiology and pathophysiology) Osmosis Prime members have access to thousands of board-style quiz questions and flashcards, study scheduling tools, and much, much more! Check us out here: bit.ly/2ut5ZEJ
Superb ! I am speechless .