13 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Low Cortisol Response ... insufficiency • Low ... #endocrinology
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... Algorithm Hypovolemic ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Anaphylaxis • Adrenal
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... Step 3) Differentiate ... - Low ACTH is ... #Stimulation #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Benign Adrenal Mass ... - Differential ... Diagnosis Algorithm ... High DHEAS • Low ... #Endocrinology
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential ... , Anaphylaxis, Adrenal ... , CVP > 12 • Pulmonary ... Classification #Differential ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... , Anaphylaxis, Adrenal ... • Obstructive: Pulmonary ... Diagnosis #criticalcare ... #algorithm #treatment
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Trauma (myocardial contusion ... Cardiac Tamponade, Pulmonary ... Failure, Endocrine (adrenal ... #diagnosis #differential ... guyton #curves #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... contractility) - Acute ... obstruction to blood flow ... ) - Massive pulmonary ... Classification #Table #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Tamponade - Pulmonary ... >> Acute PE, Tension ... abnormalities - Cath ... Inotropes - Adrenal ... Management #Summary #criticalcare
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Elevated Troponin Differential ... Injury: End Stage Renal ... Pre-Coronarv): Shock ... Distribution: Acute ... Takutsubo), Toxins, Contusion