30 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
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
ultrasound, Tests ... sodium loading test ... h of infusion Adrenal ... CT scan, adrenal ... #Screening #Workup
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... aldosterone - Low in cases ... CRH stimulation test ... autoantibody tests ... endocrinology #workup
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... FUO) - Further Workup ... Returning Traveler’ algorithm ... Test for the respective ... UnknownOrigin #workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test
Hemolysis - Diagnostic Algorithm and Causes

Increased red cell production: 
 • Increased Reticulocytosis/polychromasia 
 • Erythroid
Hemolysis - Diagnostic Algorithm ... and Causes Increased ... #Differential #Causes ... #Workup #Hematology ... GrepMed Recommended Text
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Definition: Diffuse ... Cough, Dyspnea, Fever ... anti-CCP • CXR (diffuse ... , biopsy By Tess
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Diagnostic Evaluation Algorithm ... Consider additional tests ... considered likely, the cause ... Hyponatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Causes of Polyuria - Differential Diagnosis Algorithm
Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min)
Osmotic
Causes of Polyuria ... Recovery from Acute Renal ... Water Deprivation Test ... Water Deprivation Test ... #Causes