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Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Hormone • MRI of adrenal ... endocrinology #Adrenal ... #Hyperfunction
Anosmia / Smell Dysfunction - Differential Diagnosis Algorithm Nasal Obstruction/ URTI: • Septal Deviation • Allergic Rhinitis
Diabetes Mellitus • Adrenal ... Hypofunction ... • Adrenal Hyperfunction
Congenital Adrenal Hyperplasia - 21-Hydroxylase Deficiency - Signs and Symptoms • Brain: Androgenization effects, Glucocorticoid effects,
Congenital Adrenal ... resistance • Adrenal ... Reproductive: Gonadal hypofunction ... subfertility, Adrenal ... CAH #Congenital #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
Medications associated with neuroleptic malignant syndrome First-generation and second-generation antipsychotics are dopamine receptor antagonists, which produce a
of dopaminergic hypofunction
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
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 ... Metastatic Disease -> Adrenals ... melanoma Bilateral Adrenal
CLINICAL MANIFESTATIONS OF ADRENAL INSUFFICIENCY. Primary and secondary adrenal insufficiency: - Tiredness, weakness, mental depression
CLINICAL MANIFESTATIONS ... OF ADRENAL INSUFFICIENCY ... and secondary adrenal ... insipidus #Adrenal ... Signs #Symptoms #Adrenal
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
• Renal Failure ... Hypovolemic - GI losses, renal ... Hypothyroidism, 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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