10 results
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... Insufficiency #Evaluation ... #laboratory #diagnosis ... #testing #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... - Evaluation of ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Step 3) Differentiate ... Insufficiency #Algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... differentiating kidney K wasting ... Hypokalemia #diagnosis #Algorithm ... #differential # ... potassium #nephrology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
algorithm. ... indicate the initial evaluation ... history alongside evaluation ... decision for repeat testing ... Liver #Enzymes #Differential
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... Breath test for ... Workup #Management #Algorithm ... Transplant #diagnosis #differential
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
constipation Differential ... • Provocative Tests ... absent anal wink test ... upon pinprick stimulation ... around the anus Laboratory
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
The Neurological Evaluation ... consciousness Differential ... voice or noxious stimulation ... Apply a noxious stimulation ... #PhysicalExam #neurology
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... confirmed via genetic testing ... dependent upon local laboratory ... hypokalemia #diagnosis #differential ... #algorithm #nephrology