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diagnosis differential nephrology algorithm causes renal management clinical pocus pharmacology ultrasound endocrinology pathophysiology kidney treatment table rheumatology signs symptoms workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Evaluation of HPA ... indicates normal adrenal ... tertiary AI #Adrenal
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
algorithm Decreased renal ... excretion • Acute renal ... • Congenital adrenal ... Addison's/congenital adrenal ... high: • Post-renal
Adrenal Crisis Do not confuse acute adrenal crisis with Addison disease. In 1855, Thomas Addison described a
Adrenal Crisis ... confuse acute adrenal ... syndrome of long-term adrenal ... contrast, an acute adrenal ... be a cause of adrenal
Stress Dose Steroids - Indications and Dosing SUPPRESSED HPA AXIS: prednisone >20mg/day x 3 weeks or more
Dosing SUPPRESSED HPA
Causes of Secondary Amenorrhea - Differential Diagnosis • Pregnancy • Endocrinopathies: PCOS, Hypothyroidism • HPA Dysfunction:
Hypothyroidism • HPA
Menstrual Cycle Physiology: The Hypothalamic-Pituitary-Ovarian Axis Estrogen, when released: • Negatively feeds back on the hypothalamus and
pathophysiology #HPOA
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... Damage of the adrenal ... aldosterone Causes of Adrenal ... Tuberculosis: can cause adrenal ... melanoma Bilateral Adrenal
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
• Renal Failure ... Hypovolemic - GI losses, renal ... Hypothyroidism, adrenal
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Common causes: • Renal ... evaluate cause of renal ... h of infusion Adrenal ... CT scan, adrenal ... • Congenital adrenal
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
HYPOVOLEMIC • extra-renal ... - fevers • renal ... hypothyroidism • adrenal ... nephrotic syndrome • renal
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