Adrenal Insufficiency the art of steroid replacement

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  • čas přidán 27. 05. 2019
  • Presented by
    Irina Bancos, MD
    Assistant Professor of Medicine
    Endocrinology Department
    Mayo Clinic, Rochester, MN
    Learning Objectives:
    To distinguish between primary and secondary adrenal insufficiency
    To understand the pitfalls of current diagnostic tests to diagnose adrenal insufficiency.
    To describe physiological replacement therapy for adrenal insufficiency
    To distinguish between adrenal insufficiency and glucocorticoid withdrawal syndrome.
    Presenter Bio
    Dr. Irina Bancos is the Assistant Professor of Medicine and works in the Pituitary-Adrenal-Gonadal subdivision of Endocrinology division at Mayo Clinic, Rochester. She also serves as Director of the Endocrine testing center. Dr. Bancos received her M.D. from the Iuliu Hatieganu Medical University in Cluj-Napoca, Romania. She has completed her Internal Medicine Residency at Danbury Hospital in CT and Endocrinology Fellowship at Mayo Clinic, Rochester. In addition, Dr. Bancos completed a two year research fellowship (Mayo Foundation Scholarship) at the University of Birmingham, United Kingdom where she received training in steroid profiling and adrenal disorders. In 2015 she returned to Mayo Clinic, where her clinical and research interests include adrenal and pituitary tumors, adrenal insufficiency, congenital adrenal hyperplasia, Cushing syndrome, and mechanisms of steroid regulation of metabolism. Between 2015 and 2018, Dr. Bancos was the principal investigator and leader of the Transform the Adrenal Practice team at Mayo Clinic. Dr. Bancos has published 77 scientific articles. In addition to clinical practice in the pituitary-adrenal-gonadal clinic, Dr. Bancos enjoys teaching fellows, residents and medical students. She is the principal investigator of several ongoing prospective studies in Cushing syndrome, adrenal insufficiency, prolactinoma, and adrenal tumors. Dr. Bancos currently holds several grants in the field of steroid regulation of aging, metabolism and body composition.

Komentáře • 24

  • @MauricioLema
    @MauricioLema Před 7 měsíci

    Excellent presentation. Thank you. It helped me in the evaluation of a patient of mine receiving avelumab for metastatic urothelial cancer who presents with nausea, asthenia, low sodium, high potassium, and low blood pressure.

  • @pokey3010
    @pokey3010 Před 4 lety

    Thank you so much for this! I learned so much!

  • @libraryfiles4470
    @libraryfiles4470 Před 4 lety

    Great lecture!

  • @TonyaVann
    @TonyaVann Před 3 lety +1

    Very informative video that helped me with talking to the doctors when my hubby was in the hospital. Thank you SO MUCH!! ❤️

    • @trafficjon400
      @trafficjon400 Před 2 lety

      Dexa pred steroids will make you sick suicidal . its to destroy your life. why take a poison. they give it after they brain wash you.

  • @sslukerable
    @sslukerable Před 3 lety

    Thank you for an excellent presentation!

  • @pokey3010
    @pokey3010 Před 4 lety +3

    Can you do another video for us Hypopituitary patients with secondary Adrenal Insufficiency, and all the weird side effects. To help us live a happier life..

    • @trafficjon400
      @trafficjon400 Před 3 lety +1

      Steroids will do Constant damage wile taking it. if your out of Adrenal Gland working correctly then you may have no choice but, to take steroids.

  • @ns2168
    @ns2168 Před 3 lety +4

    Has anyone with primary or secondary adrenal insufficiency been misdiagnosed with depression, anxiety, bi polar 2 ?
    And do you ever see someone who has primary or secondary experience problems when it comes to fight or flight stress related situations in life?

    • @Ianmulti
      @Ianmulti Před 3 lety +2

      I’ve been taking bipolar and anxiety medication for 5 years and just now I’m going to the endocrinologist. I will let you know if i have something in this ball park.

    • @ns2168
      @ns2168 Před 3 lety +2

      Ian G thank you so much for responding. I eagerly wait to hear your response after seeing an endocrinologist!

    • @Ianmulti
      @Ianmulti Před 3 lety +1

      nj Nick no problem at all!

  • @haqzahoorul
    @haqzahoorul Před 2 lety +1

    Excellent presentation. Unfortunately the sound quality was not great but otherwise very useful. 👍

  • @pokey3010
    @pokey3010 Před 4 lety

    I am hypopituitary from tumor in 1986 that was removed then radiation in 1987. I can't take GH anymore because i had stage 4 melanoma. I just got diagnosed with secondary Adrenal Insufficiency most likely from radiation on my pituitary in 1987, they put me on prednisone in October of last year, and i have gained weight so fast. Should i ask to be put on Hydro-cortisone? .

    • @madyjules
      @madyjules Před 4 lety +1

      I ‘m a fellow patient (have had panhypopituitarism for 15 years) my endocrine docs have ONLY recommended hydrocortisone for maintainence of the central adrenal insufficiency... . I hope my experience helps you. Adrenal insufficiency has been the worst part of losing my entire pituitary.

    • @pokey3010
      @pokey3010 Před 4 lety

      Thank you so much your reply is very helpful. I am the same Adrenal insufficiency has been the worst too. Are you in the Pituitary Network Association Facebook support group? They are so helpful only people like us can be in it but we get questions answered by pros..

    • @trafficjon400
      @trafficjon400 Před 3 lety +1

      Steroids Caused your Adrenals to Fail, not radiation.

    • @trafficjon400
      @trafficjon400 Před 2 lety +1

      Smart caring Doctor in Boston Massachusetts said Dexamethisone given for swelling is Steroid induced Arenal Shutdown = Muder ? And its not very funny he cane up with such. Accordingly FDA never approved Steroids. though they are very high in the profit feild one still should not destroy a patient with temporal Swelling from poison ivy or a side effect of a other poison that helps the better of the 2 evils.

    • @lordvader2681
      @lordvader2681 Před 4 měsíci

      ​@@trafficjon400please stop spreading misinformation and being a retard.... OP clearly stated that their pituitary was treated with radiation due to a tumor meaning the pituitary was most likely destroyed ... And if the pituitary stops working then you develop adrenal insufficiency. And then you must take steroids in order to stay alive.
      Please educate yourself 🤦‍♂️

  • @astrologersriuday1187
    @astrologersriuday1187 Před 3 lety

    I have Addison, s Disease .. Since Childhood

    • @trafficjon400
      @trafficjon400 Před 2 lety +1

      i had poison ivy and was injected with dexamethison inducing adrenal shut down 5 years ago. i will never have a life again but tortyring depression waking depression from hell shaking taking hours for some what normal is like . medications that don't work suicidal steroid induced cushings and pphsychosses. i wa healthy helping person 5 years ago.

    • @astrologersriuday1187
      @astrologersriuday1187 Před 2 lety

      @@trafficjon400 , Your Address ?