18 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... hypoglycemia, Hyponatremia ... findings (see algorithm ... test: Steroids ... interact with stim test
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypotension, hyponatremia ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Diagnosis and Management of Hyponatremia

#Hyponatremia #Algorithm #Differential #Diagnosis #Management #Nephrology

** GrepMed Recommended Text: Nephrology Secrets -
Diagnosis and Management ... of Hyponatremia ... #Hyponatremia ... #Algorithm #Differential ... GrepMed Recommended Text
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... cases in which injury ... production • CRH stimulation ... chronic lack of stimulation ... laboratory #diagnosis #testing
Diagnosis and Management of Hypernatremia

#Hypernatremia #Differential #Algorithm #Causes #Nephrology #Diagnosis

** GrepMed Recommended Text: Nephrology Secrets -
Diagnosis and Management ... of Hypernatremia ... #Hypernatremia ... #Differential #Algorithm ... GrepMed Recommended Text
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Hypothyroidism, Adrenal ... Cerebral salt wasting ... #Algorithm #diagnosis ... #sodium #nephrology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Insufficiency #Algorithm ... Diagnosis #ACTH #Stimulation
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation ... #Test #Endocrinology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... High Uric Acid → renal ... salt wasting By ... #nephrology #sodium