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Addison's Disease
TM
by
Teressa McIntosh
·
4 views
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Updated Feb 20, 2023
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Chapters
00:00
Chapter 1
00:06
Chapter 2
00:35
Chapter 3
01:20
Chapter 4
01:22
Chapter 5
02:09
Chapter 6
02:11
Chapter 7
02:13
Chapter 8
02:30
Chapter 9
02:31
Chapter 10
02:37
Chapter 11
02:46
Chapter 12
02:49
Chapter 13
03:34
Chapter 14
03:37
Chapter 15
04:06
Chapter 16
04:08
Chapter 17
04:09
Chapter 18
04:54
Chapter 19
04:55
Chapter 20
04:59
Chapter 21
Audio Transcript
Auto-generated
00:01 - 00:05
Hi my name is Theresa Macintosh and I'm gonna be presenting Addison's disease.
00:07 - 00:10
The ideology um Addison's disease is also known
00:10 - 00:14
as adrenal hypo function or adrenal insufficiency.
00:14 - 00:16
There are two forms primary and secondary.
00:16 - 00:22
It does not discriminate between gender or age. It affects everybody.
00:22 - 00:29
If it is left untreated, it can progress into a don't add estonian crisis.
00:29 - 00:33
It can have both genetic and environmental causes.
00:36 - 00:38
Primary Addison's disease.
00:38 - 00:42
Um Like I said, can have environmental and genetic causes.
00:42 - 00:44
It is an excellent disorder.
00:44 - 00:50
It is caused by autoimmune destruction or diseases such as infection
00:50 - 00:56
or hemorrhagic in the kidneys um originates in their adrenal glands
00:56 - 01:00
and it occurs when the adrenal glands cannot produce the adequate
01:00 - 01:04
amount of hormones despite a normal or increased cord atropine level.
01:05 - 01:10
Uh signs and symptoms include darkening of skin Ortho static hypertension,
01:10 - 01:12
increased hair growth,
01:12 - 01:16
increased muscle and joint pain craving of salt due
01:16 - 01:20
to hyponatremia and decreased sex drive in women.
01:24 - 01:28
Secondary Addison's disease originates outside the
01:28 - 01:31
adrenal gland is commonly caused by
01:31 - 01:37
a pituitary tumor or from prolonged exogenous glucose glucose cortisol korda.
01:37 - 01:44
Coid administration or inadequate treatment of hyper cortisol is um
01:44 - 01:50
symptoms are similar of primary um Addison's disease except for
01:50 - 01:53
the skin pigment changes rarely occur and there's less gi
01:53 - 02:00
upset um symptoms of hypoglycemia are more common with secondary
02:00 - 02:06
um Addison's disease and these symptoms of hypoglycemia include sweating,
02:06 - 02:09
anxiety, shaking, nausea, heart palpitations.
02:13 - 02:15
Path of physiology.
02:15 - 02:20
The decreased cortisol production initially followed by that of valdosta rone,
02:20 - 02:24
both of which eventually results in the elevation of adrenal,
02:24 - 02:30
Corta tropic and melanocytes stimulating hormone
02:32 - 02:38
risk factors include gender destruction of adrenal cortex and adenomas
02:38 - 02:43
as far as gender is most common in women.
02:43 - 02:46
Um And it's an excellent disorder,
02:49 - 02:51
destruction of
02:51 - 02:52
the
02:53 - 02:53
um
02:55 - 02:59
adrenal cortex. It can be both idiopathic or autoimmune.
02:59 - 03:06
Um Over 90% of the adrenal gland will be destroyed on both kidneys and it can
03:06 - 03:12
be caused by infection or it could be a hemorrhagic cause or it can be unknown.
03:12 - 03:17
Um This diagram just shows the um destruction
03:17 - 03:22
based on the auto immune cells activating the t
03:23 - 03:28
the auto reactive t cells which then
03:28 - 03:33
um activate macrophages which lead to cell apoptosis.
03:40 - 03:42
Um A third cause or adenomas.
03:42 - 03:46
These adenomas are primarily on the anterior pituitary gland.
03:46 - 03:49
Um It is a loss of the A. C.
03:49 - 03:56
Th secretion which results in the reduction of glucose Kordic oid production.
03:56 - 04:00
Um When this happens you'll see that mineral
04:00 - 04:03
Kordic oid secretion including out dust Arone,
04:03 - 04:06
remain at relatively normal levels.
04:11 - 04:17
So for clinical manifestation of Addison's disease you'll see um
04:17 - 04:23
a spike and stress um Weight loss, easily fatigued weakness.
04:23 - 04:28
Um Salt cravings due to low sodium size
04:29 - 04:34
um darkening of the skin, decreased sex drive.
04:34 - 04:41
Um And then you test with um a cortisol test or a c.
04:41 - 04:45
Th stimulation test which would indicate low cortisol levels.
04:45 - 04:53
Um nausea vomiting are primarily seen with primary Addison's disease
04:57 - 04:58
and these are my references
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