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differential nephrology endocrinology adrenal insufficiency management potassium acute alkalosis hypokalemia hyponatremia metabolic secondary clinical criticalcare foamed signs stimulation symptoms table
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Algorithm - Evaluation ... unclear (often the case ... Standard Stim test ... AI - Low = secondary ... #Algorithm #ACTH
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... (but low sensitivity ... Differentiate primary ... - Low ACTH is ... #Diagnosis #ACTH
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... Weakness, fatigue, nausea ... ) stimulation test ... - Primary adrenal ... insufficiency • Low
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
• Weakness • Low-grade ... Serum DHEAS Diagnosis ... AI present - ... ACTH test is not ... endocrinology #diagnosis
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Algorithm ACTH-Dependent ... (Primary): • Autoimmune ... Polyglandular Autoimmune Syndrome ... Insufficiency #AI ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... • Reduced GFR, AKI ... suppression • Primary ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... • Reduced GFR, AKI ... suppression • Primary ... #Algorithm #Causes
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Management Summary Primary ... Hyperpigmentation is absent (low ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST:
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... secreting tumor, Primary ... #Algorithm #causes ... #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Common causes of ... Kidney Injury AKI ... Impaired forward flow ... inhibitors, hepatorenal syndrome ... #nephrology
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