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diagnosis differential endocrinology hypertension dermatology nephrology htn management pruritus systemic treatment acromegaly adrenal cardiology hematology hyponatremia hypotonic indications insufficiency interpretation
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... (correction of hypokalemia ... • Hyperthyroidism ... #Screening #Workup ... #table
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Pruritus - Generalized ... Causes == Primary ... Liver Function Tests ... #secondary #systemic ... #causes
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Primary and Secondary ... Differential Diagnosis Algorithm ... taken at home, work ... parenchymal disease - CKD ... Differential #Diagnosis #Algorithm
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... : Work-up similar ... high T4 +/- T3 → Primary ... T3 → Central (secondary ... #algorithm #diagnosis
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Liver Function Tests ... #Pruritus #secondary ... #systemic #generalized ... #causes
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary ... Hypertension - Workup ... , Primary Hyperaldosteronism ... , Hyperthyroidism ... , Hypercalcemia,
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... syndrome • AKI/CKD ... : • Hyperthyroidism ... • Hypercalcemia
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... ACTH) stimulation test ... baseline ACTH - Primary ... baseline ACTH - Secondary
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... thyroiditis Secondary ... psychosis - CHF ... ↑ T3 - Mild hypercalcemia ... #causes #diagnosis
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
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