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diagnosis differential endocrinology adrenal insufficiency dermatology generalized pruritus secondary stimulation systemic workup amenorrhea avs casts crystals cva dipstick disorders evaluation
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... aldosterone - Low in cases ... production • CRH ... autoimmune-mediated primary ... laboratory #diagnosis #testing
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #Test #Endocrinology
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 ... ) stimulation test ... - Primary adrenal
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Differentiate primary ... consistent with primary ... Insufficiency #Algorithm
Sellar / Pituitary Mass - Differential Diagnosis Algorithm Adenoma - Primary Anterior Pituitary - Secreting
Differential Diagnosis Algorithm ... Adenoma - Primary ... • GH • ACTH ... Ectopic GNRH, CRH ... endocrinology #causes
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... Liver Function Tests ... Hyperthyroidism CBC ... #causes
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup History: - Prior platelet count, family
decreased PLT count: CBC ... smear, HIV/HCV testing ... K), H. pylori test ... thyroid function test ... unclear, or if a primary
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... differentiating kidney K wasting ... from other causes ... suggests extra-renal causes ... ↑ Aldosterone: Primary
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Differential Diagnosis Algorithm ... • Vanishing Testes ... Syndrome • Absent Testes ... Functional (e.g. eating
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinis", determined heating ... Clarity Dipstick test ... specific gravity test ... • Urinary casts ... leucocyte-esterase #urine #UNa #casts
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