28 results
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... Acromegaly #Secondary ... #Screening #Workup
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
Rotator Cuff Syndrome ... Causes: Calcific ... arm, empty can test ... Rotator #Cuff #Syndrome ... #orthopedics #diagnosis
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... Secondary Adrenal ... - If the secondary ... diagnosis #testing #endocrinology ... #workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
of primary OR secondary ... unclear (often the case ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Causes of Secondary ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST: ... Diagnosis #Management #Endocrinology
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Hypoglycemia Workup ... Insulin Autoimmune Syndrome ... metabolic demand causes ... Insulin Autoimmune Syndrome ... Diagnosis #insulinoma #endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Fasciculata: Cushing Syndrome ... dexamethasone test ... Evaluation #Diagnosis #workup ... #endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... Hypertension - Workup ... Vasculitis • Endocrinologic ... Jcortesizaguirr #Secondary ... #Hypertension #Workup
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... ACTH-Dependent (Secondary ... Polyglandular Autoimmune Syndrome ... Diagnosis #Algorithm #Causes ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... ACTH) stimulation test ... baseline ACTH - Secondary ... Diagnosis #Algorithm #endocrinology