31 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... , hypoglycemia Testing ... ) stimulation test ... High baseline ACTH ... Insufficiency #Differential
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... This test determines ... Step 3) Differentiate
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... CRH stimulation test ... - Serum tests that ... stimulation test ... laboratory #diagnosis #testing
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Provocative Testing ... - Hawkin’s Test ... - Drop Arm Test ... PhysicalExam #Shoulder #Testing ... #Impingement #ALiEM
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Axis Response to ACTH ... then go to stim testing ... Standard Stim test ... secondary AI Measure ACTH ... #Stimulation #Test
Algorithm for the diagnosis of chronic diarrhea.
It is usually impractical to test and treat the many
impractical to test ... diarrhea before testing ... reduce unnecessary testing ... pick specific tests ... the much smaller differential
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Adrenal Mass - Differential ... Hyperplasia • ACTH ... Dependent • ACTH ... Dexamethasone Suppression Test ... AdrenalMass #Benign #Differential
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
hydrogen breath test ... A/P, Consider testing ... celiac and/or testing ... TSH, Consider testing ... Workup #diagnosis #differential
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... Renal ultrasound, Tests ... sodium loading test ... #Hypertension #Differential
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
liver function tests ... abnormal liver blood tests ... of liver blood tests ... decision for repeat testing ... Liver #Enzymes #Differential