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diagnosis differential adrenal alkalosis chloride dermatology endocrinology insufficiency metabolic nephrology primary pruritus systemic acth amenorrhea gynecology hypomagnesemia magnesium management obgyn
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... normal adrenal function ... AI - Low = secondary ... #ACTH #Stimulation
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Pruritus - Generalized ... Causes == Primary ... Mellitus Liver Function ... #secondary #systemic ... #causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hormone (ACTH) stimulation ... baseline ACTH - Primary ... insufficiency • Low ... baseline ACTH - Secondary
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... age 14 without secondary ... Etiology - High FSH, Low ... Hypothalamic: • Functional
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... - Urinary Chloride ... Remote use of loop ... - Normal/low ... #causes #urinary
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... loss: Nasogastric suction ... disease • Drugs: Loop ... or secondary aldosteronism ... nephrology #magnesium #low
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Mellitus Liver Function ... #Pruritus #secondary ... #systemic #generalized ... #causes
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis - Urinary ... Chloride Algorithm ... Remote use of loop ... alkalosis • Normal/low ... the indicated causes
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
malignant, pediatric cases ... pallor, dyspnea, generalized ... hypotension (may reflect low ... , and, rarely, secondary ... alpha-adrenoceptor stimulation
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