Core Topic: Endocrine, Metabolic and Nutritional

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Thyroid storm is a rare, life-threatening disorder requiring rapid diagnosis and aggressive management.
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This week we review the presentation and management of severe hyponatremia.
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DKA is a life-threatening disorder where appropriate, aggressive management can markedly change the patients course.
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Hypercalcemia is commonly seen in the ED in the setting of malignancy and hyperparathyroidism. Know the steps in emergency management.
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Hypocalcemia is infrequently seen in the ED but management should focus on supplementation and searching for the underlying cause
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Hypokalemia is a common and potentially lethal electrolyte abnormality.
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Adrenal crisis is a life-threatening emergency due to adrenocortical hormone deficiency. Rapid recognition is the key to management.
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Insulins are commonly administered in the ED and a comprehensive understanding of their pharmacodynamics is vital.
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