James talks to Dr Barbara Depczynski about stress steroids.
Steroids are commonly charted by junior doctors on the wards. Understanding their side effects and the requirement to consider stress doses associated with chronic steroid use is vital.
Editor: James Edwards
Summary writer: Bi Yi Chen
Interviewee: Barbara Depczynski
Barbara Depczynski is a senior staff specialist in Endocrinology at Prince of Wales Hospital. Barbara’s major interests are type 2 diabetes, inpatient diabetes management, pituitary disease and PCOS. She serves on ACI In Hospital Diabetes Management Working Group. Barbara is involved with both undergraduate and post graduate teaching.
With Dr Barbara Depczynski, Endocrinologist at Prince of Wales Hospital, New South Wales, Australia
Steroids are commonly charted by junior doctors on the wards. Understanding their side effects and the requirement to consider stress doses associated with chronic steroid use is vital.
A 65-year-old female arrives on the ward in the evening following presentation to the Emergency Department with urosepsis. The patient had been commenced on antibiotics. The patient has a long history of rheumatoid arthritis for which she takes 10mg of prednisone daily and has poorly controlled diabetes.
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