7 results
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... in almost all patients ... Step 3) Differentiate ... primary vs secondary ... consistent with primary
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
OR secondary AI ... unclear (often the case ... or secondary AI ... AI - Low = secondary ... #ACTH #Stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Weakness, fatigue, nausea ... ) stimulation test ... - Primary adrenal ... - Secondary adrenal
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... ACTH-Dependent ... (Secondary): • ... (Primary): • Autoimmune ... Insufficiency #AI
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... Diagnosis Algorithm ... Nephritic syndrome • AKI ... Renin-Angiotensin stimulation ... #Nephrology #Differential
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... , Low R - Primary ... , High R - Secondary ... #nephrology #causes
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Urine Na/K/Cl ... pre-renal) - Urinary ... #Nephrology #Diagnosis ... #Algorithm #Causes ... #Differential