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

Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... Stim test is 250 mcg ... indicates normal adrenal ... Stimulation #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - Differential ... Insufficiency #AI ... #Differential # ... #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Adrenalitis Other causes ... Causes of Secondary ... Give 250 mcg of ... Diagnosis #Management #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... /dL -> Primary AI ... Administer 250 mcg ... ug/dL Primary AI ... addisons #disease #endocrinology
Adrenal Insufficiency Treatment - Stress Dose Steroids
 • Large Bore IVs, ~2L IVF & Draw workup
Treatment - Stress ... ~2L IVF & Draw workup ... Insufficiency #AI ... #Treatment #Management ... StressDose #Steroids #endocrinology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Infectious Causes ... of Adrenal Insufficiency ... #Infectious #Causes ... #AI #differential ... #diagnosis #endocrinology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... maintained fever CAUSES ... #Hyperthermia #Differential ... #Causes #Anesthesiology ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
pressure as a cause ... fluid boluses (250 ml ... #Hypotension #Differential ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - Differential ... Tumors: Lung, SCC, renal ... Lymphoma: NHL, CML ... Diagnosis #Algorithm #causes ... #endocrinology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia ... or iatrogenic causes ... thoracotomy is a better treatment ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup