26 results
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
CHF • Fluid overload ... Endocrinopathies: • Cushing ... ’s syndrome • ... Primary aldosteronism ... • Serotonin syndrome
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... the existence of hypertension ... • Primary Hyperaldosteronism ... , Congenital adrenal ... hyperplasia • Cushing's
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Zona Glomerulosa: Primary ... hypokalemia and/or hypertension ... Zona Fasciculata: Cushing ... Syndrome? ... #endocrinology
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
Causes of Hypertension ... Differential Diagnosis Algorithm ... taken at home, work ... Glucocorticoid excess (Cushing ... syndrome or disease
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Hypertension - ... abdomen/pelvis • Cushing ... ’s syndrome - Overnight ... #Secondary #Hypertension ... #Screening #Workup
Evaluation of Secondary Hypertension
 • Primary aldosteronism - PRA, PAC
 • Renal artery stenosis - Renal
Evaluation of Secondary Hypertension ... • Primary aldosteronism ... - TSH, fT4 • Cushing ... syndrome - Late-night ... resistant #Evaluation #workup
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Testing Algorithm ... weakness, refractory hypertension ... Hormone • MRI of adrenal ... #algorithm #endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Vasculitis • Endocrinologic ... Hypothyroidism, Primary ... Hypercalcemia, Cushing's ... , and Guillain-Barre ... #Workup #causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Differential Diagnosis Algorithm ... multi-drug resistance) Renal ... • Nephritic syndrome ... • Steroids (Cushing's ... Differential #Diagnosis #Algorithm
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Differential Diagnosis Algorithm ... Hyperplasia • Cushing's ... Differential #Diagnosis #Algorithm ... #endocrinology ... #causes