85 results
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
Presumed Cushing Syndrome ... #Cushings #Syndrome ... #Disease #Algorithm ... #Suppression #Test
Causes of Unprovoked Pediatric Seizures -  Epilepsy Syndromes - Differential Diagnosis Algorithm 
Infantile:
 • Benign
Differential Diagnosis Algorithm ... of Infancy • West ... Syndrome • Dravet ... Syndrome Generalized ... Differential #Diagnosis #Algorithm
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Differential Diagnosis Algorithm ... Biopsy Androgen Excess ... Polycystic Ovarian Syndrome ... Dexamethasone Suppression Test ... Differential #Diagnosis #Algorithm
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
Freiberg's Test ... for Piriformis Syndrome ... #Piriformis #syndrome ... #Freibergs #Test ... lumbar #clinical #video
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Differential Diagnosis Algorithm ... DHEAS Estrogen Excess ... Glucocorticoid Excess ... Dexamethasone Suppression Test ... Differential #Diagnosis #Algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... Hypervolemic (Excess ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Diagnosis #Workup #Algorithm
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Unresponsive): • Excess ... Hyperaldosteronism • Recent ... Barter, or Gitelman Syndrome ... metabolic #alkalosis #algorithm
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Differential Diagnosis Algorithm ... ADRENAL EXCESS ... Polycystic Ovarian Syndrome ... • Cushing's Syndrome ... Differential #Diagnosis #Algorithm
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Differential Diagnosis Algorithm ... • Gitelman's syndrome ... • Bartter's syndrome ... • Adrenergic excess ... Differential #Diagnosis #Algorithm
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Testing Algorithm ... Suspected Cushing syndrome ... dexamethasone suppression test ... #diagnosis #algorithm