13 results
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
- Differential Diagnosis ... • Congenital Adrenal ... CRF) • Infection ... Chronic UTI) • ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
case) then go to stim ... Standard Stim test ... is 250 mcg of IV ... intravenous (IV) injection ... Stimulation #Test #Endocrinology
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
- Differential Diagnosis ... • Infectious ... Cholangitis • UTI ... • Protozoa (eg ... #Differential #Diagnosis
Procalcitonin Limitations - Situations where PCT can be misinterpreted:
- Single value testing
- AKI/CKD
- Pancreatitis
- Cancers/Neoplasms
- Trauma
-
Burns - Localized infections ... (e.g. ... SSTI, UTI) - Atypical ... pathogens (e.g. ... Limitations #PCT #Diagnosis
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
- Differential Diagnosis ... Hypointense to Liver on TI ... Releasing Carcinoma (e.g ... Other Source (e.g ... #Algorithm #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
causes: TB, fungal infection ... A STIM test can ... ACTH STIM TEST: ... Give 250 mcg of ... #Management #Endocrinology
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... • Fever • UTI ... HSP • Post-infectious ... Protein deposition (eg ... #Differential #Diagnosis
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
- Differential Diagnosis ... SGLT2 inhibitors (e.g ... Nephrogenic DI (Renal ... urine volume): • UTI ... #Differential #Diagnosis
"I MD SOAPS" Infectious Diseases Exposure History

I - Immunization - Vaccination status (age-appropriate, comorbidities, travel, etc)
M
"I MD SOAPS" Infectious ... specific food (e.g ... protection, past STI ... InfectiousDiseases #Diagnosis
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Disorders: • Infection ... tuberculosis, fungal infections ... Administer 250 mcg ... addisons #disease #endocrinology ... #diagnosis #signs