103 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Differential Diagnosis Algorithm ... 4 tests for the ... after cross-arm test ... Differential #Diagnosis #Algorithm ... #MSK
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... Standard Stim test ... is 250 mcg of IV ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... dexamethasone suppression test ... Hormone • MRI of adrenal ... Syndrome #diagnosis #algorithm ... endocrinology #Adrenal
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... BCM_InternalMed #Adrenal ... Insufficiency #Testing #Algorithm
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... findings (see algorithm ... cosyntropin stimulation test ... interact with stim test ... Insufficiency #Diagnosis #Algorithm
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Interval: • 1° Block ... >200ms • 2° Block ... loss of P • 2° Block ... • 3° Complete Block ... Interpretation #ECG
Central Nervous System Pharmacology - Somatic and Autonomic Receptors
Somatic
 • Rocuronium -> Non-depolarizing (reversible competitive inhibitors)
Neostigmine - blocks ... Parasympathetic “Rest ... Innervation of Adrenal ... Medulla - Ach -> Adrenal ... Amy Chung, MD, MSc
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
clue • Blood tests ... ACTH stimulation test ... Administer 250 mcg ... present - ACTH test ... DEXAMETHASONE - ACTH test
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management Algorithm ... potassium and ECG ... with narrow base, best ... , fascicular blocks ... diagnosis #management #algorithm
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... ) Confirmation Test ... This test determines ... Insufficiency #Algorithm