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diagnosis endocrinology insufficiency differential evaluation acth hyperkalemia hypertension k laboratory management nephrology perioperative potassium preop preoperative risk screening secondary stimulation
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
ultrasound, Tests ... sodium loading test ... saline infusion test ... dexamethasone suppression test ... #table
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... autoantibody tests ... - Serum tests that ... laboratory #diagnosis #testing ... endocrinology #workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #Stimulation #Test
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 ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm
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 ... determine if stress test ... surgery Stress Testing ... preoperative stress testing
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... reabsorption) Workup ... Cortisol+ACTH stim test ... only if no clear cause ... Elimination (see Table
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