8 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... ACTH) stimulation test ... baseline ACTH - Primary ... #Differential # ... Diagnosis #Algorithm #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... aldosterone - Low in cases ... in which injury ... autoimmune-mediated primary ... diagnosis #testing #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Insufficiency Addison's ... ovarian insufficiency ... Symptoms/physical exam ... autoimmune adrenalitis cases ... addisons #disease #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... Step 3) Differentiate ... primary vs secondary ... consistent with primary ... #Stimulation #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 ... A STIM test can ... ACTH STIM TEST: ... Diagnosis #Management #Endocrinology
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
urine: Visual exam ... Clarity Dipstick test ... Microscopic exam ... • Urinary casts ... Acute Kidney Injury
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... TB, NTM, PNA • Primary ... moderate-to-severe cases ... Sweat chloride test ... Bronchiectasis #pulmonary #differential
Pectoralis Major Rupture Injury during Bench Press Exercise
CLINICAL: a rare injury patterns with typical sudden "tear/pop"
Major Rupture Injury ... Primarily men: 20 ... EXAM: severe ecchymosis ... immobilization, rest ... majority of these cases