15 results
diagnosis differential adrenal causes insufficiency hypokalemia potassium acth adrenalmass intercellularshift management benign breast cosyntropin cushings discharge epilepticus hypercortisolism malignant neurology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Transcellular Shift ... beta-2 adrenergic simulation ... #nephrology #low
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Hyperpigmented skin (due to high ... Hyponatremia, hyperkalemia ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
hyponatremia, hyperkalemia ... hormone (ACTH) stimulation ... test AND • Baseline ... insufficiency likely: • High ... #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 ... #diagnosis #nephrology
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Failure • Stress (e.g ... Pregnancy, Breast Stimulation ... Prolactin + Normal/ Low ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
is 250 mcg of IV ... Measure ACTH: - High ... primary AI - Low ... #ACTH #Stimulation ... #Test #Endocrinology
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 ... pituitary gland) - High ... #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Differential Diagnosis Algorithm ... DHEAS • Low DHEAS ... Dexamethasone Suppression Test ... Hypertension +/- Hypokalemia ... #Endocrinology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Algorithm • IV ... potassium and ECG ... with narrow base, best ... blocks, QRS axis shift ... #potassium #high
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... EABV (e.g., CHF ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology
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