10 results
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Tuberculosis: can cause ... • Low-grade fever ... Palmar creases - Extensor ... clue • Blood tests ... ACTH stimulation test
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Hormone • MRI of adrenal ... Syndrome #diagnosis #algorithm ... endocrinology #Adrenal
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 ... Standard Stim test ... #Stimulation #Test
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Definition: Diffuse ... Cough, Dyspnea, Fever ... Disease-specific testing ... anti-CCP • CXR (diffuse ... , biopsy By Tess
Fever After International Travel

Infectious Disease:
• Endemic in either the destination or home region

Viral Syndromes:
Arboviral infections, a
thrombocytopenia, and renal ... of liver and renal ... rapid diagnostic tests ... polymerase-chain-reaction (PCR) testing ... and possibly PCR testing
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
indirect Coombs test ... Crossmatch - involves testing ... S/sx: Fever, flank ... , DIC, hypoTN, renal ... false negatives on testing
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... or family - Ever ... event, follow ACC algorithm ... determine if stress test ... surgery Stress Testing
A blood test and/or 24 hour urine collection for the breakdown product of adrenaline & noradrenaline
A blood test and ... blood or urine testing ... In certain cases ... the tumor should never ... Pheo #Diagnosis #Algorithm
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... nerve injury (25%) TEST ... Dorsiflexion of foot, Toe extension ... ligament/meniscus testing ... Posterior #Injury #msk