12 results
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Testing Algorithm ... weakness, refractory hypertension ... Adrenocorticotropic Hormone • MRI ... #algorithm #endocrinology
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
Differential Diagnosis Algorithm ... taken at home, work ... Glucocorticoid excess (Cushing ... syndrome or disease ... Differential #Diagnosis #Algorithm
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Differential Diagnosis Algorithm ... • Nephritic syndrome ... • Steroids (Cushing's ... HTN #Secondary #Nephrology ... Differential #Diagnosis #Algorithm
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
hypokalemia and/or hypertension ... Zona Fasciculata: Cushing ... Syndrome? ... Evaluation #Diagnosis #workup ... #endocrinology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... #Algorithm #nephrology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
- Workup and Differential ... Vasculitis • Endocrinologic ... Hypercalcemia, Cushing's ... White-coat syndrome ... #Workup #causes
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... the existence of hypertension ... hyperplasia • Cushing's ... differential #diagnosis #algorithm ... #causes #nephrology
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Differential Diagnosis Algorithm ... on TI Weighted MRI ... Polycystic Ovarian Syndrome ... Aldosterone Excess Hypertension ... #Endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary Hypertension ... CT or MRI scan of ... abdomen/pelvis • Cushing ... ’s syndrome - Overnight ... Causes #Screening #Workup
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Cushing's Syndrome ... 5) Secondary hypertension ... disease, CT and/or MRI ... #Syndrome #Hypercortisolism ... signs #symptoms #endocrinology