73 results
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
ECG of a 32-year-old ... Cath showed 100% ... ProximalLAD #Occlusion #ECG ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Axis Response to ACTH ... Stim test is 250 mcg ... Insufficiency #Diagnosis #Algorithm ... #ACTH #Stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Clinical suspicion ... Baseline plasma ACTH ... High baseline ACTH ... Differential #Diagnosis #Algorithm
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Indications Cath ... high (5-7) risk Cath ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
Differential Diagnosis Algorithm ... • GH • ACTH ... Physiological (e.g ... Compensation (e.g ... Differential #Diagnosis #Algorithm
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Differential Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... High Plasma E2 +Clinical ... Differential #Diagnosis #Algorithm
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Differential Diagnosis Algorithm ... Thrombophilia • Critical ... adrenomyeloneuropathy ACTH ... Differential #Diagnosis #Algorithm
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Diagnosis and Clinical ... exposed tothe sun (e.g ... Caused by excessive ACTH ... same precursor as ACTH ... gluconeogenesis enzymes (e.g
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... Clinical features ... skin (due to high ACTH ... findings (see algorithm ... Insufficiency #Diagnosis #Algorithm
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
ECG with concerning ... Taken to cath lab ... Echocardiogram #clinical