13 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... - Evaluation of ... then go to stim testing ... primary AI - Low
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... Baseline plasma ACTH Low ... • Low or normal ... Differential #Diagnosis #Algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... differentiating kidney K wasting ... consumption • Low ... Hypokalemia #diagnosis #Algorithm ... potassium #nephrology #low
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
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
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
between 8 and 9 AM - Low ... aldosterone - Low ... Plasma ACTH - Low ... #Evaluation #laboratory ... #diagnosis #testing
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
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm
Absence of menses for more than 3 cycles or
Differential Diagnosis Algorithm ... progesterone challenge, Low ... FSH, Low estrogen ... Functional (e.g. eating ... #Causes #OBGyn
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... Performance thorough ... event, follow ACC algorithm ... Orthopedic • Low ... surgery Stress Testing
Causes of Intrauterine Growth Restriction / Small for Gestational Age - Differential Diagnosis Algorithm
Fetal Factors:
 -
Differential Diagnosis Algorithm ... • Chronic insufficiency ... Uteroplacental Flow ... • Renal insufficiency ... Causes #Obstetrics #OBGyn