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Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... • Congenital adrenal ... #Differential #Diagnosis ... #Workup #table
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
unclear (often the case ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... aldosterone - Low in cases ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Mg wasting syndromes ... #Differential #Diagnosis ... Low #Magnesium #Table ... Classification #Causes ... #Workup #hypomg
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... with previously stable ... Vasculitis • Endocrinologic ... #Hypertension #Workup
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Workup: • ... glucose suppression test ... • Pituitary testing ... or refractory cases ... #Management #Endocrinology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... reabsorption) Workup ... Cortisol+ACTH stim test ... only if no clear cause ... Elimination (see Table