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diagnosis differential endocrinology nephrology adrenal alkalosis dermatology insufficiency metabolic chloride generalized hypomagnesemia pruritus systemic ai amenorrhea drugs gynecology hyperthyroidism hypokalemia
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
diagnostic of primary ... unclear (often the case ... normal adrenal function ... suggests EITHER primary ... - High = primary
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... - Primary adrenal ... - Secondary adrenal ... Differential #Diagnosis #Algorithm
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Differential Diagnosis Algorithm ... ACTH-Dependent ... (Secondary): • ... (Primary): • Autoimmune
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
- Systemic and Primary ... Causes == Primary ... Urticaria == No Primary ... #Pruritus #primary ... #secondary #systemic
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... high T4 +/- T3 → Primary ... T3 → Central (secondary ... Hyperthyroidism #algorithm ... endocrinology #TFTs #TSH #Interpretation
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 ... Hypothalamic: • Functional ... Hypothyroidism #Primary
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... - Urinary Chloride ... Remote use of loop ... Vomiting/nasogastric suction ... #causes #urinary
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Causes of Hypomagnesemia ... - Nasogastric suction ... disease Drugs: - Loop ... Hypercalcemic states - Primary ... or secondary aldosteronism
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... Abnormalities in primary ... or secondary hemostasis ... clotting factor function
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... vomiting/ nasogastric suction ... > 20 meq/L • Primary ... because of ectopic ACTH ... Differential #Diagnosis #Causes
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