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diagnosis differential adrenal insufficiency hypokalemia potassium causes nephrology signs symptoms workup acidosis adrenalmass alkalosis base benign cosyntropin cushings disorders hypercortisolism
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
hyponatremia, hyperkalemia ... ) stimulation test ... Low Cortisol Response ... insufficiency • Low ... #endocrinology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Transcellular Shift ... beta-2 adrenergic simulation ... vomiting) • Low
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Insufficiency Diagnosis Algorithm ... skin (due to high ACTH ... stimulating melanocytes ... Hyponatremia, hyperkalemia ... #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... - Evaluation of ... primary AI - Low ... #ACTH #Stimulation ... #Test #Endocrinology
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... Transcellular Shift ... Production - Stimulation ... causes #potassium #low
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... - Low ACTH is ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
between 8 and 9 AM - Low ... aldosterone - Low ... - Low, because ... Insufficiency #Evaluation ... diagnosis #testing #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Hyperplasia • ACTH ... Dependent • ACTH ... High DHEAS • Low ... Hypertension +/- Hypokalemia ... #Endocrinology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... with hypokalemia ... creatinine) • Cell shift ... B2-adrenergic stimulation ... #differential #algorithm
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
because melanocyte stimulating ... Cataracts Labs: Hypokalemia ... levels following a low-dose ... stimulation 2 ... signs #symptoms #endocrinology
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