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diagnosis endocrinology adrenal hypokalemia insufficiency nephrology potassium amenorrhea gynecology laboratory management obgyn table breast cardiology chf classification clinical clinicopathology criticalcare
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ) stimulation test
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 ... Step 3) Differentiate ... - Low ACTH is
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 ... primary AI - Low ... #ACTH #Stimulation
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
between 8 and 9 AM - Low ... aldosterone - Low ... in cases in which ... - Low, because ... laboratory #diagnosis #testing
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Causes of Hypokalemia ... - Differential ... Diagnosis Algorithm ... Production - Stimulation ... #low #pathophysiology
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Breast Discharge - Differential ... Diagnosis Algorithm ... Pregnancy, Breast Stimulation ... Prolactin + Normal/ Low ... Endocrinology #Causes
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... from other causes ... suggests extra-renal causes ... consumption • Low ... #differential #
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Amenorrhea - Differential ... Diagnosis Algorithm ... Etiology - High FSH, Low ... #Causes #OBGyn
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... Amenorrhea - Differential ... Diagnosis Algorithm ... FSH, Low estrogen ... Functional (e.g. eating
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... can be high or low ... Cerebral Salt Wasting ... #Hyponatremia #differential
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