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differential management endocrinology insufficiency physicalexam clinical evaluation hematology nephrology neurology acth amyloid amyloidosis anemia atlas barre beaus comatose dermatology diseases
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... aldosterone - Low in cases ... aldosterone - Often normal ... Evaluation #laboratory #diagnosis ... endocrinology #workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... this indicates normal ... #Stimulation #Test
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... ACTH) stimulation test ... insufficiency • Low or normal
Disseminated Gonococcal Infection - Diagnosis and Management Summary Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
Laboratory Diagnosis ... the preferred test ... typically part of the workup ... • Test all patients ... knees, wrists, ankles
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... GI Bleed) • NaCl ... Water Deprivation Test ... Water Deprivation Test ... #Algorithm #Causes
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Evaluation Algorithm ... may actually be normal ... Consider additional tests ... considered likely, the cause ... #Workup #Evaluation
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... : • Normal: Air ... cause unknown) ... Cerebellopontine angle ... #Differential #Diagnosis
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm Phoria: • Latent deviation • Symmetrical corneal light reflex,
- Differential Diagnosis ... Algorithm Phoria ... Negative cover test ... Non-paretic - Comitant Angle ... #Algorithm #Causes
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... stimulation to all ... Reflexes: • Deep tendon ... Casey Albin MD @ ... neurology #comatose #diagnosis
The following #reflexes are routinely tested, and the response elicited is graded from zero to
In contrast, if all ... Achilles reflex is best ... on a chair with ankles ... Angle clonus is ... be elicited at ankles
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