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diagnosis differential causes insufficiency secondary acutekidneyinjury addisons aki cardiology cosyntropin cushing disease evaluation hormone htn hyperfunction incidentaloma indications interpretation screening
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary Hypertension ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... #Secondary #Hypertension ... Causes #Screening #Workup
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Differential Diagnosis Algorithm ... taken at home, work ... aldosteronism) • Hyperthyroidism ... ) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Zona Glomerulosa: Primary ... hypokalemia and/or hypertension ... dexamethasone test ... Evaluation #Diagnosis #workup ... #endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... : Work-up similar ... high T4 +/- T3 → Primary ... #algorithm #diagnosis ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... abdominal pain, hypotension ... ACTH) stimulation test ... baseline ACTH - Primary ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
GI distress - Hypotension ... , only seen in PRIMARY ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... if unexpected hypotension ... hypothyroidism ... Orthostasis • Hypotension ... addisons #disease #endocrinology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Syndrome Testing Algorithm ... weakness, refractory hypertension ... dexamethasone suppression test ... #endocrinology ... #Adrenal #Hyperfunction
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
- Workup and Differential ... Vasculitis • Endocrinologic ... : Hypothyroidism ... , Primary Hyperaldosteronism ... , Hyperthyroidism
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
AKI) What to ask ... - Recent hypo/hypertension ... ) - Urinary tract ... AcuteKidneyInjury #AKI #Nephrology ... #Diagnosis #Algorithm
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