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diagnosis differential adrenal hyperkalemia nephrology acth hyponatremia hypotonic intercellularshift physiologic sodium stimulation table test
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... likely: • High ... • Low or normal ... #endocrinology
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
inhibitors Other causes ... transplant - SLE High ... Primary adrenal insufficiency ... Ketoconazole Low ... #Algorithm #diagnosis
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... ARB • Adrenal insufficiency ... • NSAlDs #Hyperkalemia ... #Causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... Measure ACTH: - High ... primary AI - Low ... Stimulation #Test #Endocrinology
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 ... diuresis can be high ... , Adrenal Insufficiency ... Present (Uosm ≥100): Hypovolemia
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