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differential insufficiency management workup criticalcare hypertension signs symptoms syndrome testing acth addisons algorithm amyloid amyloidosis back challenges cushings disease evaluation
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... - Differential Diagnosis ... CT or MRI scan of ... Acromegaly #Secondary ... #Workup #table
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... of primary OR secondary ... unclear (often the case ... Stim test is 250 mcg ... Stimulation #Test #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Causes of Secondary ... : Long-term steroid ... Give 250 mcg of ... #Secondary #Diagnosis ... #Management #Endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... : • Lung cancer ... Administer 250 mcg ... addisons #disease #endocrinology ... #diagnosis #signs
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... aldosterone - Low in cases ... autoimmune-mediated primary ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
- Differential Diagnosis ... failure, acute MI ... findings based on cause ... reactions, adrenal ... #table #comparison
Back Pain - Differential Diagnosis Primary Back Pathology: • Musculoligamentous injury (a.k.a. lumbosacral strain) • Spondylosis (i.e.
- Differential Diagnosis ... Primary Back Pathology ... Pathologic fracture secondary ... #causes #primarycare ... #table
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary ... and Differential Diagnosis ... with previously stable ... Vasculitis • Endocrinologic ... Hypothyroidism, Primary
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... • Acne • If secondary ... not a feature of primary ... Imaging: 1) Primary ... signs #symptoms #endocrinology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Vaginal dryness • Primary ... other diseases • Secondary ... Hypocomplementemia • Can cause ... thickening or effusion ... MALT Lymphoma • Lung
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