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differential nephrology endocrinology insufficiency hypokalemia management potassium amenorrhea dermatology gynecology hypertension metabolic workup acth alkalosis generalized hyponatremia pruritus rheumatology signs
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... - Differential Diagnosis ... • Cushing’s syndrome ... Acromegaly #Secondary ... #Differential #Diagnosis
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
- Differential Diagnosis ... Algorithm Defining ... suggests either secondary ... , Congenital adrenal ... #algorithm #causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... of primary OR secondary ... unclear (often the case ... Standard Stim test ... AI - Low = secondary
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... Weakness, fatigue, nausea ... ACTH) stimulation test ... baseline ACTH - Primary ... baseline ACTH - Secondary
Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm Primary Amenorrhea - No onset of menarche
Causes of Primary ... - Differential Diagnosis ... Algorithm Primary ... #Algorithm #Causes ... #OBGyn #Gynecology
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Algorithm Hypertensive ... R - Primary aldosteronism ... High Al, High R - Secondary ... , Congenital Adrenal ... #causes #low #potassium
Secondary causes of Hypertension • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes ... Renal Disease ... Hyperaldosternism (low ... tumor • Other low ... #differential #diagnosis
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... secreting tumor, Primary ... #Differential #Diagnosis ... #Algorithm #causes
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... specificity for AI (but low ... vs secondary AI ... - Low ACTH is
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... in cases in which ... autoimmune-mediated primary ... Secondary Adrenal ... Evaluation #laboratory #diagnosis
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