27 results
diagnosis differential nephrology endocrinology adrenal hyponatremia cardiology obgyn acth amenorrhea criticalcare evaluation gynecology hyperkalemia hypokalemia laboratory management sodium stimulation workup
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... Baseline plasma ACTH Low ... • Low or normal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... primary AI - Low
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
inhibitors Other causes ... Primary adrenal insufficiency ... Ketoconazole Low ... #Hyperkalemia #Algorithm ... #differential #causes
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Primary polydipsia, Low ... intake, Renal insufficiency ... #differential #algorithm ... #causes #nephrology
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
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Beer Potomania - Low ... Hypothyroidism, adrenal insufficiency ... Differential #Diagnosis #Algorithm ... #causes #nephrology
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
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Differential Diagnosis Algorithm ... Idiopathic Other Causes ... Hypopituitarism • Adrenal Insufficiency ... Differential #Diagnosis #Algorithm ... endocrinology #causes
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 ... Plasma ACTH - Low ... laboratory #diagnosis #testing
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 ... Hypothyroidism, Adrenal Insufficiency ... Cerebral Salt Wasting
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