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

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Early am cortisol ... unclear (often the case ... Stim test is 250 mcg ... Insufficiency #Diagnosis #Algorithm
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... Tuberculosis: can cause ... sodium, potassium, AM ... Administer 250 mcg ... ACTH.
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
, no extensive workup ... EtOH - Infectious workup ... blood cultures - ECG ... antibodies #Diagnosis #EM ... #Differential #Algorithm
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
Differential Diagnosis Algorithm ... • GH • ACTH ... Physiological (e.g ... Differential #Diagnosis #Algorithm ... endocrinology #causes
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... life-threatening causes ... : • EKG • Bedside ... Pain #Diagnosis #Algorithm ... #workup
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH ... between 8 and 9 AM ... aldosterone - Low in cases ... between 8 and 9 AM ... endocrinology #workup
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Adrenalitis Other causes ... is absent (low ACTH ... A baseline 8am cortisol ... Give 250 mcg of
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings → Clinical diagnosis (without biopsy) e.g. Löfgren's syndrome
Suggestive
Proposed Algorithm ... without biopsy) e.g ... of alternative causes ... #Sarcoidosis #Algorithm ... #diagnosis #Workup
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... SAME 6. ... #Differential #Algorithm ... #Diagnosis #Causes ... #Workup #Nephrology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
exposed tothe sun (e.g ... , oral cavity) Caused ... cleaved from the same ... polyuria in the case ... gluconeogenesis enzymes (e.g