12 results
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... ACTH-Dependent (Secondary ... Polyglandular Autoimmune Syndrome ... Staph Aureus, Strep
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... Secondary Adrenal ... - If the secondary ... Evaluation #laboratory #diagnosis ... endocrinology #workup
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Causes of Secondary ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST:
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... - Differential Diagnosis ... • Cushing’s syndrome ... Acromegaly #Secondary ... #Workup #table
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... Methotrexate ILD Secondary ... Churg Strauss syndrome ... Diseases #ILD #diagnosis ... #causes
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... Renal Syndromes ... mononeuritis multiplex WORKUP ... anti-GBM) Other tests ... Goodpasture's cause
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Secondary OP ... Unknown • 6-7 cases ... studies legionella/strep ... , HIV • CTD workup ... #ILD #diagnosis
IgA Vasculitis – Henoch Scholein Purpura: Pathogenesis and Clinical Findings

 - Infectious Agents - 50% have
virus or Group A Strep ... nephrotic/nephritic syndrome ... , renal insufficiency ... arthritis (especially knees ... Pathophysiology #Diagnosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Interpretation Steps ... - Differential Diagnosis ... D-lactate (short bowel syndrome ... failure - Adrenal insufficiency ... Classically” noted with pulmonary
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Acromegaly occurs secondary ... Beckwith Wiedemann syndrome ... and Workup: • ... glucose suppression test ... or refractory cases