256 results
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... #Hypertension #Differential
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Testing Algorithm ... dexamethasone suppression test ... Hormone • MRI of adrenal ... endocrinology #Adrenal
Algorithm for the diagnosis of chronic diarrhea.
It is usually impractical to test and treat the many
impractical to test ... diarrhea before testing ... reduce unnecessary testing ... pick specific tests ... the much smaller differential
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... , hypoglycemia Testing ... ACTH) stimulation test ... Insufficiency #Differential
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Syndrome Definition ... symptomatology Differential ... Disease-specific testing ... , biopsy By Tess ... #Syndrome #differential
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Cosyntropin Stimulation Test ... BCM_InternalMed #Adrenal ... Insufficiency #Testing
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... CRH stimulation test ... autoantibody tests ... - Serum tests that ... laboratory #diagnosis #testing
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... This test determines ... Step 3) Differentiate
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Tea and Toast Syndrome ... Hypothyroidism, adrenal ... failure, nephrotic syndrome ... #Hyponatremia #Differential
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... indicates normal adrenal ... #Stimulation #Test