26 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... Baseline plasma ACTH Low ... insufficiency • Low
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... Cortisol, Saliva • Low ... dexamethasone suppression test ... Hormone • MRI of adrenal ... endocrinology #Adrenal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... primary AI - Low ... #Stimulation #Test
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... require Cosyntropin testing ... - Low ACTH is ... Insufficiency #Algorithm
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1° HPT - 1° Renal ... PO4 wasting: Hereditary ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Uric Acid - Low ... High Uric Acid → renal ... salt wasting By ... #nephrology #sodium ... #low #uricacid
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hypothyroidism, Adrenal ... Cerebral salt wasting ... Primary polydipsia, Low ... diagnosis #sodium #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Cerebral salt wasting ... Hypothyroidism, Low ... #Hyponatremia #algorithm ... diagnosis #sodium #low ... #nephrology
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
strategy with minimal testing ... cultures, but test ... /o red flags - Low ... Rule out celiac disease ... Balloon Expulsion Test
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
Alkalosis - Diagnostic Algorithm ... Hyperalimentation - Addison disease ... - Renal tubular ... GrepMed Recommended Text ... : Nephrology Secrets