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Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... CT scan, adrenal ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... #Differential #Diagnosis
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Serum DHEAS Diagnosis ... clue • Blood tests ... ACTH stimulation test ... addisons #disease #endocrinology ... #diagnosis #signs
Hirsutism & Virilization - Differential Diagnosis Algorithm ADRENAL EXCESS Ovarian • Polycystic Ovarian Syndrome • Hyperthecosis • Tumor Adrenal
- Differential Diagnosis ... Algorithm ADRENAL ... #Differential #Diagnosis ... #Algorithm #endocrinology ... #causes
Causes of Hypercalcemia Parathyroid hormone–dependent Primary hyperparathyroidism Familial hypocalciuric hypercalcemia Lithium-associated Tertiary hyperparathyroidism Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
Causes of Hypercalcemia ... thyrotoxicosis, adrenal ... Hypercalcemia #Causes ... #Differential #Diagnosis ... #Endocrinology
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 Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
dexamethasone suppression test ... Hormone • MRI of adrenal ... #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... aldosterone - Low in cases ... in which injury ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Hirsutism - Differential Diagnosis Algorithm RAPID ONSET Medications • Steroids • Danazol • Progestin Containing Contraceptives Increased Serum Testosterone
- Differential Diagnosis ... Serum DHEAS • Adrenal ... -OH Congenital Adrenal ... #Algorithm #endocrinology ... #causes
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 ... #Differential #Diagnosis ... #Algorithm #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... - Differential Diagnosis ... Polyglandular Autoimmune Syndrome ... #Algorithm #Causes ... #endocrinology
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Adrenal Incidentalomas ... Fasciculata: Cushing Syndrome ... dexamethasone test ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
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