12 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... hyponatremia, hyperkalemia ... , hypoglycemia Testing ... ) stimulation test
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... Dexamethasone Suppression Test ... Hypertension +/- Hypokalemia
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... stimulation test ... aldosterone - Often normal ... Insufficiency #Evaluation #laboratory ... #diagnosis #testing
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... Step 3) Differentiate ... Insufficiency #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... this indicates normal ... #Test #Endocrinology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... decision for repeat testing ... #Algorithm #Hepatology ... Liver #Enzymes #Differential
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... differentiating kidney K wasting ... consumption • Low/Normal ... #diagnosis #Algorithm ... #differential #
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Adrenal Mass - Differential ... Diagnosis Algorithm ... Carcinoma) • Normal ... Dexamethasone Suppression Test ... Hypertension +/- Hypokalemia
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
- BAR >1.0 is abnormal ... adults • Blood tests ... Bronchoscopy Laboratory ... Sweat chloride test ... Bronchiectasis #pulmonary #differential
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
remember than the normal ... volume-based algorithm ... Cerebral Salt Wasting ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential