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diagnosis algorithm insufficiency causes evaluation management table acromegaly acth chronic classification cushing fever hyperfunction hypertension hypomagnesemia hypomg infectiousdiseases laboratory low
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
dexamethasone suppression test ... between 11 pm and ... Hormone • MRI of adrenal ... diagnosis #algorithm #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... , hypoglycemia Testing ... ACTH) stimulation test ... AND • Baseline ... Diagnosis #Algorithm #endocrinology
Diarrhea Workup and Management Algorithm in Transplant Patients First Tier Microbiologic-Testing: 1. C. difficile PCR (Stool) 2. CMV qPCR
Diarrhea Workup ... Breath test for ... negative and diarrhea ... #Workup #Management ... Transplant #diagnosis #differential
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... - Workup Osmotic ... hydrogen breath test ... #Workup #diagnosis ... #differential #
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... Testing Common ... CT scan, adrenal ... #Hypertension #Differential ... Causes #Screening #Workup
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... both cortisol and ... laboratory #diagnosis #testing ... #endocrinology ... #workup
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Step 1) Screening Test ... require Cosyntropin testing ... cortisol 30 min AND ... Step 3) Differentiate ... #Stimulation #Endocrinology
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... Medications - Loop and ... Mg wasting syndromes ... Hypomagnesemia #Differential ... Classification #Causes #Workup
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
macrognathia), ↑ hand ... Differential Diagnosis ... Workup: • Serum ... glucose suppression test ... • Pituitary testing
Fever After International Travel Infectious Disease: • Endemic in either the destination or home region Viral Syndromes: Arboviral infections, a
mosquito bite Diarrhea ... of liver and renal ... polymerase-chain-reaction (PCR) testing ... possibly PCR testing ... Fever #Travel #Differential
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