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diagnosis differential endocrinology insufficiency acth evaluation hematology hypertension hyponatremia hypotonic nephrology physiologic screening secondary sodium stimulation test thromboticthrombocytopenicpurpura ttp
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
and Screening Testing ... ultrasound, Tests ... • Congenital adrenal ... #Screening #Workup ... #table
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... aldosterone - Often normal ... Insufficiency #Evaluation #laboratory ... #diagnosis #testing ... endocrinology #workup
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... insufficiency • Low or normal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... this indicates normal
TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura Activity of von Willebrand factor-cleaving protease activity - A
TTP - Laboratory ... value is low, tests ... indirect antiglobulin tests ... the presence of renal ... ThromboticThrombocytopenicPurpura #Diagnosis #Workup
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... remember than the normal ... volume-based algorithm ... Hypothyroidism, Adrenal ... differential #diagnosis #table
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