22 results
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... hypokalemia and/or hypertension ... Fasciculata: Cushing Syndrome ... dexamethasone test ... #Diagnosis #workup
Evaluation of Secondary Hypertension
 • Primary aldosteronism - PRA, PAC
 • Renal artery stenosis - Renal
Evaluation of Secondary ... Hypertension • ... fT4 • Cushing syndrome ... #resistant #Evaluation ... #workup #diagnosis
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
Evaluating a Patient ... #Disease #Algorithm ... #Workup #Dexamethasone ... #Suppression #Test ... #diagnosis
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary Hypertension ... - Differential Diagnosis ... • Cushing’s syndrome ... #Differential #Diagnosis ... Causes #Screening #Workup
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
- Differential Diagnosis ... Algorithm Hypertension ... based on repeat clinic ... multi-drug resistance) Renal ... #Algorithm #Causes
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Testing Algorithm ... weakness, refractory hypertension ... dexamethasone suppression test ... #diagnosis #algorithm ... endocrinology #Adrenal
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
- Differential Diagnosis ... Algorithm Primary ... taken at home, work ... excess (Cushing syndrome ... #Algorithm #causes
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... Clinical features ... GI distress - Hypotension ... cosyntropin stimulation test ... interact with stim test
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... abdominal pain, hypotension ... ACTH) stimulation test ... #Differential #Diagnosis
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
- Workup and Differential ... Diagnosis Approach ... (when evaluation ... 109 mm Hg) with clinical ... #Workup #causes