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differential management endocrinology physicalexam clinical insufficiency neurology signs nephrology rheumatology symptoms dermatology syndrome workup cardiology hematology hepatology injury primary secondary
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... Serum DHEAS Diagnosis ... sodium, potassium, AM ... endocrinology #diagnosis
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... Insufficiency #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... findings (see algorithm ... ): - AM serum ... cosyntropin stimulation test ... interact with stim test
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... ACTH Early am ... unclear (often the case ... Standard Stim test ... #Algorithm #ACTH
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
between 8 and 9 AM ... aldosterone - Low in cases ... autoantibodies are ... between 8 and 9 AM ... Evaluation #laboratory #diagnosis
Rotator Cuff Syndrome - SITS Supraspinatus, Infraspinatus, Teres minor, and Subscapularis. Causes: Calcific supraspinatus tendinitis Signs: painful abduction
Causes: Calcific ... supraspinatus tendinitis Signs ... painful abduction of arm ... , empty can test ... #orthopedics #diagnosis
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... ACTH) stimulation test ... #Differential #Diagnosis
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
The Diagnostic Approach ... inhibitors Other causes ... heparin - ACE-I / ARB ... #Hyperkalemia #Algorithm ... #causes
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Syndrome Testing Algorithm ... dexamethasone suppression test ... Then measure at 8 am ... Hormone • MRI of adrenal ... Cushing #Syndrome #diagnosis
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
: Most Common Cause ... Adrenalitis Other causes ... aldosterone levels are ... A STIM test can ... ACTH STIM TEST:
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