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differential insufficiency criticalcare hyponatremia management secondary sodium workup acth addisons algorithm amyloid amyloidosis challenges disease evaluation fluid hypertension hypotonic laboratory
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... CT or MRI scan of ... #Differential #Diagnosis ... #Workup #table
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... then go to stim testing ... Stim test is 250 mcg ... Stimulation #Test #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
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
- Differential Diagnosis ... carcinoma of the lung ... Cerebral salt wasting ... failure - Primary ... #Table #Causes
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Management Summary Primary ... : Long-term steroid ... Give 250 mcg of ... Insufficiency #Primary ... #Management #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
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... perfusion (Heart ... water intake (Primary ... #differential #diagnosis ... #table #sodium
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
Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Amyloidosis: • Primary ... Persistent pleural effusions ... Testing Blood ... typing Cardiac Testing ... enlargement • MRI
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
Fluid Tolerance Testing ... lower risk of renal ... cardiac output causes ... #diagnosis #criticalcare ... #comparison #challenges
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