11 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... ) stimulation test ... Low Cortisol Response ... insufficiency • Low
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 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
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
it should not cause ... dissociative drug, it causes ... hallucinations, sympathetic stimulation ... Can give in low ... CriticalCare #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Performance thorough ... event, follow ACC algorithm ... Orthopedic • Low ... surgery Stress Testing ... medical and surgical management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
only 5% of the resting ... treat the primary cause ... may not be the case ... #diagnosis #management ... clinica l#foamed #algorithm
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
only 5% of the resting ... treat the primary cause ... may not be the case ... #diagnosis #algorithm ... echocardiogram #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... Cardiac cath if ... the determined cause ... #differential #algorithm ... #management #cardiology
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Diagnosis and Management ... malignant, pediatric cases ... hypotension (may reflect low ... resistance, impaired fasting ... alpha-adrenoceptor stimulation