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diagnosis differential nephrology algorithm causes management renal clinical pharmacology pocus ultrasound endocrinology kidney pathophysiology treatment table rheumatology signs symptoms workup
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Saliva • Low dose dexamethasone ... protocol: - 1 mg dexamethasone ... Hormone • MRI of adrenal ... endocrinology #Adrenal
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Adrenal Incidentalomas ... 1 mg overnight dexamethasone ... evaluation • Adrenal ... mendesthiagob #Adrenal
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Adrenal Insufficiency ... seen in PRIMARY adrenal ... suggestive of adrenal ... stim test - dexamethasone ... fludrocortisone #Adrenal
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Benign Adrenal Mass ... • Congenital Adrenal ... Adenoma (Positive Dexamethasone
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... Damage of the adrenal ... aldosterone Causes of Adrenal ... melanoma Bilateral Adrenal ... affected by use of DEXAMETHASONE
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Malignant Adrenal ... Syndrome, Congenital Adrenal ... Carcinoma (Positive Dexamethasone ... Often Bilateral) Adrenal
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
evaluate cause of renal ... h of infusion Adrenal ... CT scan, adrenal ... Overnight 1-mg dexamethasone ... • Congenital adrenal
Intern Pocket Cards - Inpatient Anti-Emetics Guide Serotonin antagonists: • Ondansetron (Zofran), Granisetron (Kytril, Sancuso) - Headache,
Centrally acting: • Dexamethasone ... mood changes, adrenal
Bioequivalence of Corticosteroid Doses - Dexamethasone Conversion Dexamethasone 1mg Betamethasone 1mg Prednisolone 7mg Hydrocortisone 30mg Triamcinolone 5mg Methylprednisolone 5mg Dr. Keith Siau @drkeithsiau #Bioequivalence
Corticosteroid Doses - Dexamethasone ... Conversion Dexamethasone ... 1mg Betamethasone ... #pharmacology #Dexamethasone
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
following a low-dose dexamethasone ... the abdomen for adrenal ... tumors • The adrenal
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