97 results
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... Cortisol, Saliva • Low ... Hormone • MRI of adrenal ... Syndrome #diagnosis #algorithm ... endocrinology #Adrenal
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... Baseline plasma ACTH Low ... insufficiency • Low ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... primary AI - Low ... Insufficiency #Diagnosis #Algorithm
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 ... Insufficiency #Algorithm
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... BCM_InternalMed #Adrenal ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Uric Acid - Low ... High Uric Acid → renal ... salt wasting By ... nephrology #sodium #low
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia Diagnostic Algorithm ... - 1° HPT - 1° Renal ... PO4 wasting: Hereditary ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Beer Potomania - Low ... • Renal Failure ... Hypothyroidism, adrenal ... Differential #Diagnosis #Algorithm
Syphilis Serologic Testing - Treponemal and Non-Treponemal Testing Algorithms
Treponemal Testing:
 • Confirmatory or Screening - Detection
Syphilis Serologic Testing ... Non-Treponemal Testing ... Algorithms Treponemal ... Testing: • Confirmatory ... Definitive • Low
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hypothyroidism, Adrenal ... Cerebral salt wasting ... Primary polydipsia, Low ... #Hyponatremia #Algorithm