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diagnosis differential endocrinology adrenal nephrology workup acth anemia gastroenterology gastrointestinal hypoglycemia hypokalemia hyponatremia hypotonic iron lowglucose physiologic sodium stimulation table
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Gastrointestinal Evaluation ... • Additional laboratory ... Non-invasive testing ... endoscopy • Insufficient ... Gastrointestinal #Evaluation
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... - Evaluation of ... unclear (often the case ... then go to stim testing
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Differential Diagnosis Algorithm ... Idiopathic Other Causes ... Hypopituitarism • Adrenal Insufficiency ... Catecholamine Deficiency ... endocrinology #causes
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... distinguish between ACTH deficiency ... pituitary) and deficiency ... #Evaluation #laboratory ... #diagnosis #testing
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... mineralocorticoid deficiency ... Hypothyroidism, Adrenal Insufficiency ... Cerebral Salt Wasting
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... confirmed via genetic testing ... continued in most cases ... ; interpretation ... dependent upon local laboratory
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