15 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... insufficiency • Low ... #endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... Cortisol, Saliva • Low ... dexamethasone suppression test ... #endocrinology ... #Adrenal #Hyperfunction
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 ... #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
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
between 8 and 9 AM - Low ... aldosterone - Low ... in cases in which ... 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
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... grip weakness caused ... ulnar nerve palsy, testing ... Palsy #clinical #video ... #neurology #physicalexam
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
with syphilis) Meaning ... Proprioceptive loss How ... Observe when patient closes ... #neurology #diagnosis ... proprioception #physicalexam
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