Nonthyroidal Illness Syndrome (Sick Euthyroid Syndrome) in the Intensive Care Unit Shirin Haddady Alan P. Farwell Introduction Critical illness causes multiple alterations in thyroid hormone concentrations in patients who have…
Hypoglycemia John P. Mordes Michael J. Thompson David M. Harlan Samir Malkani Hypoglycemia occurs often in the intensive care unit (ICU) as both an admission diagnosis and a consequence of…
Disorders of Mineral Metabolism Seth M. Arum Daniel T. Baran Disorders of mineral metabolism, although common, are rarely the primary cause of admission to an intensive care unit (ICU). However,…
Hypoadrenal Crisis and the Stress Management of the Patient on Chronic Steroid Therapy Neil Aronin The adrenal glands secrete five types of hormone, but two are critical in the intensive…
Myxedema Coma Mira Sofia Torres Charles H. Emerson Myxedema coma is a syndrome that occurs in advanced untreated hypothyroidism [1,2,3,4,5]. It is defined by a group of characteristic clinical features…
Severe Hyperthyroidism Marjorie S. Safran Patients with thyrotoxicosis rarely need hospitalization. However, some patients with severe thyrotoxicosis develop a decompensated clinical presentation called thyroid storm. It is characterized by hyperpyrexia,…
Hyperglycemic Diabetic Coma Samir Malkani Aldo A. Rossini David M. Harlan Michael J. Thompson John P. Mordes Introduction The Acute Metabolic Complications of Diabetes: the Overlap Concept The most urgent…
Management of Hyperglycemia in Critically Ill Patients Michael J. Thompson David M. Harlan Samir Malkani John P. Mordes Introduction Hyperglycemia is a common problem that complicates the delivery of intensive…
Acute Pancreatitis Michael L. Steer Definition, Classification, and Pathology Pancreatitis, an inflammatory disease of the pancreas, can be classified as acute or chronic on the basis of clinical, morphologic, or…
Hepatic Dysfunction Mauricio Lisker-Melman Gowri Kularatna Liver function abnormalities are detected in about 50% of intensive care unit (ICU) patients, often leading to hepatology consultation [1]. The presentation of hepatic…
