9 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... normal adrenal function
Amenorrhea - Differential Diagnosis Algorithm
Elevated FSH
 • Premature Ovarian Failure
 • Menopa use
 • Spontaneous
Bleed With
Differential Diagnosis Algorithm ... Congenital GnRH Deficiency ... Challenge • Functional ... • Weight Loss, Eating ... endocrinology #causes
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
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm
No onset of menarche by age 16 with secondary
Causes of Primary ... Differential Diagnosis Algorithm ... Hypothalamic: • Functional ... (e.g. eating disorder ... Differential #Diagnosis #Algorithm
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
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic inflammation causes ... Most Common Causes ... ) • Pulmonary function ... Bronchoscopy Laboratory ... α1-antitrypsin deficiency
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
Delayed Fracture Healing - Non-Union - Malunion - Differential Diagnosis Algorithm

Inflammation (Hours-Days) -> Soft Callus (Days-Weeks)
Differential Diagnosis Algorithm ... Ca2 / Vitamin D deficiency ... normal axis Non Functional ... Misalignment before casting ... #Orthopedics #Causes