11 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... Low Cortisol Response ... insufficiency • Low ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... primary AI - Low ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... require Cosyntropin testing ... - Low ACTH is ... #Stimulation #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low ... in cases in which ... - Low, because ... laboratory #diagnosis #testing ... #endocrinology
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Characterized by low ... near arm tremor caused ... Disease #clinical #video ... #neurology #copper ... #physicalexam
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Characterized by low ... near arm tremor caused ... Disease #clinical #video ... #neurology #copper ... #physicalexam
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Delayed wound healing ... , oral cavity) Caused ... levels following a low-dose ... the abdomen for adrenal ... signs #symptoms #endocrinology
Wing-Beating Tremor on Physical Exam

Seen in Wilson's disease, caused by copper toxicity (low ceruloplasmin)

#Wing #Beating #Tremor
Wilson's disease, caused ... copper toxicity (low ... #Tremor #PhysicalExam ... #clinical #video ... #neurology #wilsons
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... The median nerve acts ... the hand. 3) Now ... Abnormal #clinical #video ... #neurology #PhysicalExam
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Characterized by low ... near arm tremor caused ... Disease #clinical #video ... #neurology #copper ... #physicalexam