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adrenal causes management algorithm acth classification criticalcare overview primary shock stimulation treatment abg acid acidbase addisons allergy base bloodgas disease
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
primary OR secondary AI ... primary or secondary AI ... High = primary AI ... secondary or tertiary AI ... 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 ... Diagnosis Algorithm ... #AI #Differential ... #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
specificity for AI ... > 15 excludes AI ... AI. ... Step 3) Differentiate ... primary vs secondary AI
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
In secondary AI ... of AI and a cortisol ... least 18 excludes AI ... of AI - Dr. ... #Management #Endocrinology
Infectious Causes of Adrenal Insufficiency Anatomical distribution of vessels to the adrenal makes the gland prone to
Causes of Adrenal Insufficiency ... Causes #Adrenal #Insufficiency ... #AI #differential ... #diagnosis #endocrinology
Eosinophilia - Differential Diagnosis Algorithm Idiopathic Eosinophilia Primary Eosinophilia: • Primary hypereosinophilic syndrome • Eosinophilic Leukemia • MPN/MDS
Eosinophilia - Differential ... Diagnosis Algorithm ... Heme malig (AML, CML ... bartonella) • Rheum/AI ... pneumonia, Adrenal insufficiency
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Hypothyroidism, Adrenal Insufficiency ... Renal Losses (AKI ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
/dL -> Primary AI ... Administer 250 mcg ... ug/dL Primary AI ... addisons #disease #endocrinology ... #diagnosis #signs
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Diagnosis Framework ... declines > ALT) • AKI ... + myoglobin AKI ... causes #treatment #nephrology
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
(AG) = {Na - (Cl ... Diagnosis: Causes ... failure - Adrenal insufficiency ... sedation, narcotics, CVA ... #Summary #Nephrology
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