10 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
and Evaluation: ... Cost - Cost per test ... etiology of syncope Tests ... Cardiac stress test ... #comparison
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... Renal ultrasound, Tests ... sodium loading test ... saline infusion test ... dexamethasone suppression test
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... , hypoglycemia Testing ... ACTH) stimulation test ... baseline ACTH - Secondary
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
- Evaluation of ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #Stimulation #Test
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... - Serum tests that ... Insufficiency #Evaluation ... laboratory #diagnosis #testing ... endocrinology #workup
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... Hypertension - Workup ... Approach (when evaluation ... with previously stable ... #Hypertension #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... reabsorption) Workup ... Cortisol+ACTH stim test ... only if no clear cause ... Elimination (see Table
Celiac Disease - Diagnosis Algorithm
IgA TTG has high sensitivity and specificity of ~ 98% and is
serologic marker for evaluating ... pts need further testing ... -A negative test ... -A positive test ... gastroenterology #workup
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... disease b) CHF ... event, follow ACC algorithm ... determine if stress test ... surgery Stress Testing
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Mortality due to CVD ... Acromegaly occurs secondary ... Diagnosis and Workup ... glucose suppression test ... • Pituitary testing