14 results
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 ... Baseline plasma ACTH Low ... • Low or normal
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Familial renal Mg wasting ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
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 ... primary AI - Low
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low ... in cases in which ... #Evaluation #laboratory ... #diagnosis #testing ... endocrinology #workup
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
type 4) - Salt wasting ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 • Epidemiology: -10% of all lupus cases, drug-dependent,
• Immunologic Workup ... in >90% - Low ... Discontinuation of causal ... 60-80% - Low ... sle #comparison #table
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 ... Hypothyroidism, Adrenal Insufficiency ... Cerebral Salt Wasting ... differential #diagnosis #table
Commonly Used Diagnostic Tests for Celiac Disease

Tissue transglutaminase (tTG) IgA antibodies
 - Most reliable noninvasive test
negative if on low-gluten ... Celiac #Disease #Testing ... #Laboratory #Tests ... #Diagnosis #Workup ... #Table
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
only 5% of the resting ... are typically able ... treat the primary cause ... may not be the case ... #diagnosis #algorithm
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
only 5% of the resting ... are typically able ... treat the primary cause ... may not be the case ... clinica l#foamed #algorithm