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CLINICAL MANIFESTATIONS 
OF ADRENAL INSUFFICIENCY. 

Primary and secondary adrenal insufficiency:
 - Tiredness, weakness, mental depression
weight loss - Dizziness ... , orthostatic hypotension ... nervous system symptoms ... Headache, visual symptoms ... Insufficiency #Signs #Symptoms
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Salt craving • Dizziness ... Fatigue Signs: • Orthostasis ... Androgens: • Symptoms ... physical: - Symptoms ... diagnosis #signs #symptoms
Therapy for Benign Prostatic Hyperplasia (BPH) 
5 Alpha-Reductase inhibitors
 • Flnasterlde and dutasterlde act by reducing
reduced to improve symptoms ... side effects are orthostatic ... hypotension and dizziness ... reduction in the symptoms
Causes of Dizziness / Lightheadedness - Differential Diagnosis Algorithm
Lightheaded, unsteady, disoriented - Non-vertigo
Organic Disease
 • Presyncope/Vasodepressor
Causes of Dizziness ... Arrhythmia • Orthostatic ... Disorder • Phobic Dizziness ... Somatization #Dizzy #Dizziness
Syncope - Findings, Signs and Symptoms by Classification
 - Reflex Syncope 
 - Cardiogenic Syncope
Findings, Signs and Symptoms ... Cardiogenic Syncope - Orthostatic ... CriticalCare #Sign #Symptoms
Dizziness - Differential Diagnosis Framework
Vertigo:
 • Peripheral: Labyrinthitis, BPPV, Meniere's disease, Alternobaric
 • Central: CVA/TIA -
Dizziness - Differential ... Acute anemia, Orthostatic ... Chiefs @jmcchiefs #Dizziness
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
evaluation of dizziness ... and evolution of dizziness ... ) that provoke dizziness ... Timing of the symptom ... that provoke the symptom
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
to approach to Dizziness ... additional history "Dizziness ... yet imprecise symptom ... TylerLarsenMD #TiTrATE #Dizziness
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Dizziness - Differential ... Bradyarrhythmias, HOCM, PE • Orthostatic ... Chiefs @jmcchiefs #Dizziness
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... "pass out" • Symptoms ... spinning" • Symptoms ... or walking • Symptoms ... EricsMedicalLectures/ #Dizziness