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differential causes adrenal endocrinology hyponatremia nephrology acth cardiology criticalcare hyperkalemia management potassium sodium stimulation aldosterone clinica clinical clinicopathology comparison echocardiogram
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
The Diagnostic Approach ... High Renin - Primary ... adrenal insufficiency ... Ketoconazole Low ... #Hyperkalemia #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Baseline plasma ACTH Low ... baseline ACTH - Primary ... • Low or normal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... AI - Low = secondary ... AI #Adrenal #Insufficiency ... #Diagnosis #Algorithm
Etiologies of Hypoaldosteronism Hyporeninemic Hypoaldosteronism (Low Renin, Low Aldosterone) - Diabetic Nephropathy - NSAIDs Non-Hyporeninemic Hypoaldosteronism (Normal
Hypoaldosteronism (Low ... Chronic heparin - Primary ... adrenal insufficiency ... #Differential #Diagnosis ... Aldosterone #Comparison #Table
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Vasopressin-independent - Consider: Primary ... polydipsia, Low ... intake, Renal insufficiency
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... specificity for AI (but low ... - Low ACTH is ... #Algorithm #Diagnosis
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hypothyroidism, Adrenal insufficiency ... (UOsm < 100): Primary ... polydipsia, Low ... #diagnosis #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Hypothyroidism, Adrenal Insufficiency ... water intake (Primary ... #differential #diagnosis ... #table #sodium
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
- Differential Diagnosis ... Ureterosigmoidostomy Urinary ... #Differential #Diagnosis ... #Low #Potassium ... #Table #Classification
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... #Differential #Diagnosis ... #Low #Magnesium ... #Table #Classification
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