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diagnosis differential causes nephrology endocrinology hypokalemia potassium insufficiency acth evaluation laboratory sodium stimulation acid acidosis adrenallesion alkalosis anemia base bosniakclassification
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... hormone (ACTH) stimulation ... Baseline plasma ACTH Low ... insufficiency • Low ... Differential #Diagnosis #Algorithm
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... specificity for AI (but low ... - Low ACTH is ... Insufficiency #Algorithm
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Differential Diagnosis Algorithm ... beta-2 adrenergic simulation ... vomiting) • Low ... Differential #Diagnosis #Algorithm ... #nephrology #low
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
between 8 and 9 AM - Low ... aldosterone - Low ... between 8 and 9 AM - Low ... Plasma ACTH - Low ... endocrinology #workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... primary AI - Low ... Insufficiency #Diagnosis #Algorithm ... #ACTH #Stimulation
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... - Normal or Low ... Diagnosis #Framework #Workup
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
diarrhea / IBD Renal ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Pregnancy, Breast Stimulation ... Prolactin + Normal/ Low ... Production • Renal ... Differential #Diagnosis #Algorithm
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Differential Diagnosis Algorithm ... Low intake ... oral intake Renal ... Differential #Diagnosis #Algorithm ... #Causes #Classification
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... • Euvolemic (Low ... Differential #Diagnosis #Workup ... #Algorithm #nephrology
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