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diagnosis differential hypokalemia potassium adrenal causes hyperthyroidism insufficiency nephrology symptoms acidosis acth alkalosis base cushings disorders hypercortisolism interpretation pathophysiology syndrome
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Transcellular Shift ... beta-2 adrenergic simulation ... vomiting) • Low
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
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... hyponatremia, hyperkalemia ... hormone (ACTH) stimulation ... insufficiency • Low ... #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
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
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Function Tests in the Evaluation ... TSH, Low normal ... Hyperthyroidism → Signs ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Base Disorders - Evaluation ... 3) Now, look at ... bicarb, Bicarb shift ... Alkalosis: CNS stimulation ... Base #Disorders #Evaluation
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Diagnosis: • ↓ Low ... T4 • Thyroid stimulating ... ↑ T3 - Mild hypercalcemia ... -> T3 - Bile acid ... #signs #symptoms
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation and Management ... Evaluation begins ... search for warning signs ... transcellular shifts ... #Evaluation #Algorithm
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 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 ... Hypercortisolism #Diagnosis #signs ... #symptoms #endocrinology
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