Episodio – Insuficiencia suprarrenal primaria: hiperpigmentación y trastornos electrolíticos | USMLE Step 1

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Mujer con DM1, fatiga, pérdida de peso, hiperpigmentación palmar y prueba de ACTH sin respuesta: diagnóstico de insuficiencia suprarrenal primaria (Addison). Repasamos fisiopatología de cortisol + aldosterona, el patrón Na↓ K↑ Cl↑ HCO₃⁻↓ (acidosis metabólica con GAP normal) y por qué disminuyen los requerimientos de insulina.#USMLEStep1 #Endocrinología #Nefrología #Addison #Aldosterona #ACTH #Acidosis #USMLEDreamers

Episode metadata supplied by the publisher feed · Published Nov 11, 2025

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Episodio – Insuficiencia suprarrenal primaria: hiperpigmentación y trastornos electrolíticos | USMLE Step 1

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