11 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypotension, hyponatremia ... hyperpigmentation, hypoglycemia ... Differential #Diagnosis #Algorithm ... #endocrinology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... pseudohyponatremia • hyperglycemia ... failure #Hypernatremia ... Diagnosis #Workup #Algorithm
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... - Unexplained hypoglycemia ... , Hyponatremia, ... findings (see algorithm ... Stimulation #StimTest #Endocrinology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... Hyponatremia: Hyperglycemia ... Hypothyroidism, Adrenal ... #Algorithm #diagnosis
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... cardiac, liver, renal ... EM #IM #Nephro #Hyponatremia ... #Differential #Algorithm ... #Ddxof
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Diagnosis Algorithm ... Fasting Hypoglycemia ... Hypopituitarism • Adrenal ... Differential #Diagnosis #Algorithm ... #endocrinology
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm

Brain Involvement - Hemispheric
Differential Diagnosis Algorithm ... Excesses • Liver/Renal ... Hypoxemia • Hypoglycemia ... deficiency • Hyponatremia ... Differential #Diagnosis #Algorithm
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Differential Diagnosis Algorithm ... Drug-induced • High purine ... • Chronic renal ... Differential #Diagnosis #Algorithm ... #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
marks (classically purple ... is decreased), hypernatremia ... the abdomen for adrenal ... tumors • The adrenal ... signs #symptoms #endocrinology
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... • Discuss with endocrinology ... — discuss with endocrinology ... Wilkinsonjonny #Hyponatremia ... #Management #algorithm