55 results
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Patient - Differential ... meds • Adrenal insufficiency ... Afterload: • Sepsis ... Anaphylaxis • Adrenal insufficiency ... #hypotensive #differential
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis ... Distributive: • Sepsis ... Anaphylaxis • Adrenal insufficiency ... #Differential #
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... abdominal pain, hypotension ... #Differential # ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... - Differential ... Primary Adrenal Insufficiency ... #Differential # ... Workup #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... GI distress - Hypotension ... PRIMARY adrenal insufficiency ... > 18, adrenal insufficiency ... Stimulation #StimTest #Endocrinology
Causes of Peripheral Edema - Differential Diagnosis
Increased Hydrostatic Pressure
 • Volume Expansion: Kidney failure, Pregnancy, Medication
Peripheral Edema - Differential ... Obstruction / Insufficiency ... failure, Pulmonary hypertension ... Permeability: Sepsis ... Peripheral #Edema #Differential
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal Insufficiency ... - Differential ... SCVMCMed #Adrenal #Insufficiency ... #AI #Differential ... Algorithm #Causes #endocrinology
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
cognitive response to hypotension ... primary therapy for hypotension ... anaphylaxis - adrenal insufficiency ... #Vasopressors #Differential
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Hypoglycemia - Differential ... Cardiac Failure) • Sepsis ... Hypopituitarism • Adrenal Insufficiency ... Hypoglycemia #LowGlucose #Differential ... Diagnosis #Algorithm #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal Insufficiency ... if unexpected hypotension ... anticoagulation, DIC and sepsis ... Orthostasis • Hypotension ... addisons #disease #endocrinology