5800 results
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
Algorithm #Workup #Dexamethasone ... Suppression #Test #diagnosis
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 ... Cushing #Syndrome #diagnosis
Central Retinal Vein Occlusion (CRVO)
Clinical:
 • Sudden, painless, monocular loss of vision 
 • "Blood and
growth factor • Dexamethasone ... Occlusion #CRVO #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis ... eosinophilia Diagnostic ... stim test - dexamethasone ... Insufficiency #Diagnosis
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
1 mg overnight dexamethasone ... Hormone #Evaluation #Diagnosis
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
- Differential Diagnosis ... Adenoma (Positive Dexamethasone ... #Differential #Diagnosis
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
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
- Differential Diagnosis ... Carcinoma (Positive Dexamethasone ... #Differential #Diagnosis
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
Presentation / Diagnosis ... Diagnosis via genetic ... Infection should be diagnosed ... etoposide and dexamethasone ... Lymphohistiocytosis #diagnosis
High Altitude Cerebral Edema (HACE)
Clinical 
 • Encephalopathy 
 • Ataxic gait 
 • Severe lassitude
ambulatory) • Dexamethasone ... Cerebral #Edema #Diagnosis