Grand Rounds - Dec. 11, 2020
"Adrenal Insufficiency"

Speaker: Nairi Berner, MD, Assistant Clinical Professor, Endocrinology Chairperson, Inpatient Diabetes Management Committee University of California, Irvine


  1. Explain with insight regarding the pathophysiology, diagnostic elements, testing algorithms and sometimes conflicting guidelines for therapy in the care of patients with adrenal insufficiency.
  2. Review the symptoms of cortisol and adrenal androgen deficiencies in the setting of both primary and secondary AI, symptoms only seen in primary AI, guidelines for laboratory testing, and to review the various treatment options, including systemic steroid, and how to use laboratory test and symptom assessment to guide titration of treatments.
  3. Explain management of associated hypothyroidism and the management of secondary diabetes insipidus will be reviewed.
  4. Explain consideration of special circumstances: management in the presence of pregnancy or in the perioperative setting.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Lisa Nasr, CME Coordinator at 541-706-4767, For CME or Clerkship questions, contact Sheila Jordan, MMGT, CHCP, Manager of Continuing Medical Education at 541-706-6780,