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diagnosis differential endocrinology adrenal clinical insufficiency cardiology adrenalmass alkalosis amenorrhea benign causes chf chloride criticalcare evaluation foamed gynecology half heartfailure
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... this indicates normal ... adrenal function ... : - High = primary ... Insufficiency #Diagnosis #Algorithm
Right Ventricular Structure and Function - Almost 75 % of the RV systolic function is dependent in
is dependent in longitudinal ... the RV and RA longitudinal ... Having normal TAPSE ... doesn't mean normal ... volume ratio is high
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... insufficiency likely: • High ... baseline ACTH - ... insufficiency • Low or normal ... Differential #Diagnosis #Algorithm
A POCUS is done starting first at the distal posterior thigh on non-painful, normal appearing tissue. Dr.
distal posterior thigh ... on non-painful, normal ... Clinical #MSK #POCUS #Normal ... #Thigh #Muscle ... #Longitudinal #SonoStuff
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 Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Differential Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... Non-Functioning Mass • Normal ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Insufficiency Diagnosis Algorithm ... Beware of major normal ... Falsely elevated in high ... pregnancy) Test 2: ACTH ... Insufficiency #Diagnosis #Algorithm
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... • Low TSH, Low normal ... • Low TSH, normal ... or normal TSH, ... Hyperthyroidism #algorithm
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... Vomiting/nasogastric suction ... alkalosis • Normal ... In a normal gap ... Chloride #urine #Algorithm
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Differential Diagnosis Algorithm ... menstruating Ovarian - Normal ... progesterone challenge, normal ... estrogen: • Functional ... Differential #Diagnosis #Algorithm
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
and MLF (medial longitudinal ... There was also high ... days, followed by oral ... and cognitive function
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