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diagnosis differential causes evaluation hypertension secondary acromegaly algorithm amyloid amyloidosis bowel classification clinical cushing dislocation fever gastroenterology hormone hyperfunction hypomagnesemia
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
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Screening Testing ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... Causes #Screening #Workup ... #table
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... Medications - Loop and ... Mg wasting syndromes ... Low #Magnesium #Table ... Classification #Causes #Workup
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Adrenal Incidentalomas ... Fasciculata: Cushing Syndrome ... dexamethasone test ... Evaluation #Diagnosis #workup ... #endocrinology
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
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
Irritable Bowel Syndrome ... Workup Summary ... strategy with minimal testing ... cultures, but test ... • If Diarrhea:
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... with previously stable ... Vasculitis • Endocrinologic ... White-coat syndrome ... #Hypertension #Workup
Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Manifestations: Renal ... : • Nephrotic syndrome ... cardiomyopathy GI: • Diarrhea ... Carpal tunnel syndrome ... typing Cardiac Testing
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
macrognathia), ↑ hand ... Beckwith Wiedemann syndrome ... 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
region Viral Syndromes ... mosquito bite Diarrhea ... of liver and renal ... polymerase-chain-reaction (PCR) testing ... possibly PCR testing
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