21 results
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Tuberculosis: can cause ... clue • Blood tests ... ACTH stimulation test ... present - ACTH test ... addisons #disease #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Weakness, fatigue, nausea ... ACTH) stimulation test ... Insufficiency #Differential ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Diagnosis and Management ... ketoconazole, etomidate) Symptoms ... A STIM test can ... ACTH STIM TEST: ... #Endocrinology
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Heat Stroke - Differential ... Syncope • Signs/Symptoms ... CNS dysfunction (encephalopathy ... heat #illness #differential ... #diagnosis #causes
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Hepatic Encephalopathy ... Diagnosis and Management ... neuropsychiatric symptoms ... rule out other causes ... Malnutrition, TIPS West
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup and Differential ... rise or increased lability ... Causes: • Vascular ... Vasculitis • Endocrinologic ... #Differential #
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
postpartum): • Initial symptoms ... = nonspecific (nausea ... hypoglycemia, encephalopathy ... infiltration) Differential ... obgyn #diagnosis #management
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Categorize and stabilize ... AMS is just a symptom ... the underlying cause ... #criticalcare #encephalopathy ... #differential #
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
anti-GBM) Other tests ... or serologies + symptoms ... Goodpasture's cause ... #Syndromes #differential ... #diagnosis #management
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... patient has severe symptoms ... • Discuss with endocrinology ... SIADH — look for cause ... hourly • Identify Cause