15 results
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... angiography • Primary ... Acromegaly #Secondary ... #Hypertension #Differential
Causes and Pathophysiology of Hypertension

#Causes #Pathophysiology #Hypertension #Primary #Essential #Secondary #Differential

** GrepMed Recommended Text: Guyton and
Causes and Pathophysiology ... #Hypertension #Primary ... #Essential #Secondary ... #Differential ... GrepMed Recommended Text
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... ACTH) stimulation test ... baseline ACTH - Primary ... baseline ACTH - Secondary ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... Symptoms/physical exam ... clue • Blood tests ... ACTH stimulation test ... addisons #disease #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - Differential ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary Primary ... Symptoms and Exam ... Causes of Secondary ... A STIM test can ... #Management #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... aldosterone - Low in cases ... autoimmune-mediated primary ... Secondary Adrenal ... diagnosis #testing #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Step 3) Differentiate ... primary vs secondary ... consistent with secondary ... consistent with primary ... #Stimulation #Endocrinology
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Hyperuricemia - Differential ... Diagnosis Algorithm Primary ... of nucleotides Primary ... Diagnosis #Algorithm #endocrinology ... #causes