11 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... - If unclear (often ... then go to stim testing ... Standard Stim test ... #Test #Endocrinology
ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
OFTEN Mnemonic ... PATIENT'S LEGS TEST ... RESPONSIVENESS ECHO/POCUS ... #CriticalCare #OFTEN ... #Mnemonic #Checklist
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... Insufficiency #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ) stimulation test ... High baseline ACTH ... Differential #Diagnosis #Algorithm
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... - Serum tests that ... stimulation test ... aldosterone - Often ... laboratory #diagnosis #testing
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Differential Diagnosis Algorithm ... Hyperplasia - Often ... Hyperplasia • ACTH ... Dependent • ACTH ... Dexamethasone Suppression Test
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
suspected and anti-ACh ... In-office testing ... and the ice pack test ... include a Tensilon test ... is outdated and often
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Insidious onset, often ... glucose suppression test ... • Pituitary testing ... TFT, LH, FSH & ACTH
Urine Microscopy - Urinary Sediment Examination Instructions
Preparation of the urine for microscopic examination:
 • Clean catch
Perform dipstick testing ... conical bottom test ... and condenser focus ... least contrast (best ... Instructions #steps #checklist
Necrotizing Fasciitis on Groin POCUS

50yo diabetic female presents with medial groin pain (where probe is for
Fasciitis on Groin POCUS ... groin pain (where probe ... nec fasciitis is best ... nec fasc, esp in setting ... Fasciitis #Groin #POCUS