18 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 ... insufficiency • Low ... Differential #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 Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Axis Response to ACTH ... then go to stim testing ... primary AI - Low ... Insufficiency #Diagnosis #Algorithm
Comparison of Fever Algorithms for Infants <3 months old

AGE, INCLUSION, TESTS 
REQUIRED, "LOW RISK" CRITERIA, TREATMENT,
Comparison of Fever Algorithms ... TESTS REQUIRED, "LOW ... of low-risk criteria ... #Comparison #Table ... #Performance
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... NSTEMI/UA, TIMI low ... Rx: NSTEMI/UA: stable ... , TIMI low (1-2) ... catheterization #cardiology
Fraction Flow Reserve (FFR) is traditionally used to quantify the degree of coronary artery narrowing to
Fraction Flow Reserve ... to evaluate for stenting ... trial re-defined flow ... is used in the cath ... #Diagnosis #Cardiology
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 ... one post op Cardiology ... surgery Stress Testing
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... acidosis) ACTIVATE CATH ... obtain TIMI III flow ... Cardiogenic #Shock #Algorithm ... Initiative #Management #Cardiology
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 ... Cerebral Salt Wasting ... Primary polydipsia), Low ... differential #diagnosis #table
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... alterations in the setting ... only 5% of the resting ... are typically able ... clinica l#foamed #algorithm