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diagnosis causes nephrology alkalosis metabolic adrenal endocrinology acth chloride hyponatremia stimulation acute amenorrhea fever gynecology hyperkalemia hypotonic obgyn physiologic sodium
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
Tubulointerstitial diseases - Urinary ... High Renin - Primary ... adrenal insufficiency ... Ketoconazole Low ... #Hyperkalemia #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
diagnostic of primary ... normal adrenal function ... suggests EITHER primary ... ACTH: - High = primary ... AI - Low = secondary
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... baseline ACTH - Primary ... • Low or normal ... #Differential #
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... Vomiting, NGT suction ... Liddle syndrome #Primary
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Vasopressin-independent - Consider: Primary ... polydipsia, Low ... intake, Renal insufficiency ... hyponatremia #diagnosis #differential
Causes of Acute Onset Fever - Differential Diagnosis Algorithm Viral: • Rhinovirus • Influenza Virus • Parainfluenza
Onset Fever - Differential ... Diagnosis Algorithm ... Infection • Urinary ... Endocrine: • Thyroid storm ... Acute Adrenal Insufficiency
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... Vomiting, NGT suction ... #Diagnosis #Algorithm
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... Step 3) Differentiate ... primary vs secondary ... consistent with primary
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... - Urinary Chloride ... - Normal/low ... #causes #urinary
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Diagnosis Algorithm ... Etiology - High FSH, Low ... Hypothalamic: • Functional ... Hypothyroidism #Primary
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