8 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... Low Cortisol Response ... • Low or normal ... Differential #Diagnosis #Algorithm
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... specificity for AI (but low ... require Cosyntropin testing ... - Low ACTH is
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 ... #Diagnosis #Algorithm
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
between 8 and 9 AM - Low ... aldosterone - Low ... between 8 and 9 AM - Low ... - Low, because ... laboratory #diagnosis #testing
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hypothyroidism, Adrenal insufficiency ... Cerebral salt wasting ... Primary polydipsia, Low ... #Hyponatremia #Algorithm
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Hypothyroidism, Adrenal Insufficiency ... Cerebral Salt Wasting ... Primary polydipsia), Low
Antisocial Personality Disorder (ASPD): Pathogenesis and Clinical Findings
Work & lnterpersonal:
 • Home Life Troubles - Conflict
poor academic performance ... vandalism, fire setting ... Aggression - Commits acts ... Conforming to law ... manipulative - Planning insufficient
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 ... preoperative stress testing