18 results
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... Beware of major normal ... value - variation ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... • Low or normal ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... findings (see algorithm ... around 6-8AM) – if value ... #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... this indicates normal ... #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
Gynecomastia - Differential Diagnosis a
nd Workup Algorithm
Gynecomastia is common in clinical practice, affecting ~50% of males
Diagnosis a nd Workup Algorithm ... affecting ~50% of males ... Labs: TSH, Cr, LFTs ... Diagnosis #Workup #Algorithm ... #endocrinology
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis Algorithm ... Hypovolemic: • Poor oral ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Anaphylaxis • Adrenal insufficiency
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
• Low TSH, Low normal ... • Low TSH, normal ... Can repeat labs ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Hypoglycemia - Evaluation Algorithm
Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Hypoglycemia - Evaluation Algorithm ... Interpreting Hypoglycemia Labs ... → Oral Hypoglycemic ... Hypoglycemia #Evaluation #Algorithm ... workup #diagnosis #endocrinology
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

Elevated Hemoglobin:
 • Males: Hb > 16.5 g/dL/HCT ≥ 49%
 •
Differential Diagnosis Algorithm ... Hemoglobin: • Males ... Hypoxia-driven: Cardiac/pulmonary ... ), TEMPI (VEGF normal ... Differential #Diagnosis #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Anaphylaxis, Adrenal Insufficiency ... Decompensated CHF, Severe Valve ... • Obstructive: Pulmonary ... #criticalcare #algorithm