8 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... Differential #Diagnosis #Algorithm ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... Differential Diagnosis Algorithm ... SCVMCMed #Adrenal #Insufficiency ... #Causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
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 ... #endocrinology ... #causes
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
Normal and Renal Dosing ... patients have renal insufficiency ... Inhibitors #Renal #Dosing ... Management #Diabetes #DM2 ... #Endocrinology
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
• Discuss with endocrinology ... about adding Tolvaptan ... SIADH — look for cause ... hourly • Identify Cause ... Hyponatremia #Management #algorithm
Weight Loss - Differential Diagnosis Algorithm
Decreased Intake:
 • GI illness (upper and lower)
 • Psychiatric (Depression,
Differential Diagnosis Algorithm ... • Pancreatic Insufficiency ... Disease • Protein-losing ... Failure • Adrenal Insufficiency ... #Causes
Hypothyroidism - Differential Diagnosis Algorithm
Central Hypothyroidism
 • Isolated TSH Deficiency
 • Panhypopituitarism
Thyroid Hormone Resistance
Iatrogenic
Primary Hypothyroidism
 -
Differential Diagnosis Algorithm ... • Severe Iodine ... Differential #Diagnosis #Algorithm ... #endocrinology ... #causes