13 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Algorithm Clinical ... if value is < 3, ... /inconclusive (3- ... test: Steroids ... interact with stim test
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... : Cosyntropin Stimulation ... Step 3) Differentiate ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... Algorithm Clinical ... volume depletion, abdominal ... hormone (ACTH) stimulation ... test AND • Baseline
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Algorithm - Evaluation ... am cortisol < 3 ... Standard Stim test ... #Algorithm #ACTH ... #Stimulation #Test
Drop Arm Test 1. Position patient's arm fully abducted so hand is over the head. 2.
Drop Arm Test 1. ... to their side. 3. ... suddenly drop #Diagnosis ... Supraspinatus #RotatorCuff ... #ALiEM
Labral tear - O'Brien Test - 1. Position patient's shoulder in 90 degree flexion, elbow extended,
tear - O'Brien Test ... Point thumb down 3. ... supinated (thumb up) #Diagnosis ... #Labral #Tear #RotatorCuff ... ALiEM
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Weight loss (90%) 3. ... Abdominal pain; ... positive T. whipplei tests ... positive T. whipplei test ... #algorithm #management
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... classically purple abdominal ... disturbance, psychosis 3) ... dexamethasone suppression test ... ACTH levels 3)
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Nausea/vomiting • Abdominal ... Serum DHEAS Diagnosis ... Serum cortisol < 3 ... present - ACTH stimulation ... endocrinology #diagnosis
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
on Transvaginal POCUS ... patient, severe abdominal ... +preg test. ... (see below for diagnosis ... at the bedside #3