9 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
unclear (often the case ... Standard Stim test ... AI Measure ACTH ... - Low = secondary ... #ACTH #Stimulation
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... (but low sensitivity ... : Cosyntropin Stimulation ... - Low ACTH is ... Insufficiency #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... ) stimulation test ... Low Cortisol Response ... insufficiency • Low ... - Secondary adrenal
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... • AKI/CKD Mineralocorticoid ... Renin-Angiotensin stimulation ... #Nephrology #Differential
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Hyperpigmentation is absent (low ... Causes of Secondary ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST:
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Common causes of ... inhibitors, hepatorenal syndrome ... nephropathy • Secondary ... #causes #Acute ... Differential #Diagnosis #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Transcellular Shift ... , Acute Respiratory ... Hyperparathyroidism, TKI ... #nephrology #phosphorus
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Cushing's Syndrome ... • Acne • If secondary ... levels following a low-dose ... dexamethasone suppression test ... #Cushings #Syndrome
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
spine • MCC- acute ... symptoms: • Severe low ... - Emergency Causes ... upon pinprick stimulation ... #neurology