18 results
Hypoglycemia - Evaluation Algorithm
Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Algorithm Interpreting ... Hypoglycemia Labs ... at the time of testing ... #Evaluation #Algorithm ... workup #diagnosis #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyperpigmentation, hypoglycemia ... Testing: • Adrenocorticotropic ... hormone (ACTH) stimulation ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... due to high ACTH stimulating ... - Unexplained hypoglycemia ... findings (see algorithm ... #StimTest #Endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Insufficiency Algorithm ... - Cosyntropin Stimulation ... Insufficiency #Testing ... #Algorithm #Cosyntropin ... #Stimulation #endocrinology
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Diagnosis Algorithm ... Fasting Hypoglycemia ... Idiopathic Other Causes ... #endocrinology ... #causes
Diabetes Morning Hyperglycemia - Dawn Phenomenon vs Somogyi Effect 

When patients FBG's are elevated each morning
Diabetes Morning Hyperglycemia ... insulin levels causes ... a natural hyperglycemia ... Somogyi #Effect #Fasting ... Diagnosis #Management #Endocrinology
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
Hyperglycemia - ... Differential Diagnosis Algorithm ... Differential #Diagnosis #Algorithm ... #endocrinology ... #causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... #ACTH #Stimulation ... #Test #Endocrinology
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Pregnancy, Breast Stimulation ... Differential #Diagnosis #Algorithm ... #Endocrinology ... #Causes
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Test: Cosyntropin Stimulation ... Insufficiency #Algorithm ... #Endocrinology