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diagnosis nephrology adrenal insufficiency management signs symptoms hypernatremia primary stimulation 2 addisons arteritis comatose cushings di disease gca giantcell hypercortisolism
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... , hypotension, hyponatremia ... , hypoglycemia Testing ... ) stimulation test ... #endocrinology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... water retention 1) ... Urine Osmolarity 3) ... Acid → renal salt wasting ... #nephrology #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Workup Step #1 ... Uglucose Step #3 ... & desmopressin test ... #Sodium #nephrology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Step 1) Screening ... require Cosyntropin testing ... Step 3) Differentiate ... - Low ACTH is ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
am cortisol < 3 ... then go to stim testing ... Standard Stim test ... primary AI - Low ... #Test #Endocrinology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... 1) Check Urine ... • Euvolemic (Low ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... +K / serum Na >1 ... Cerebral Salt Wasting ... #differential # ... #nephrology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Hypoparathyroidism - Type 1 ... • Weakness • Low-grade ... : - Check sodium ... Serum cortisol < 3 ... addisons #disease #endocrinology
Hyponatremia Diagnostic Algorithm 1) Check serum osmolality 2) Check urine osmolality 3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... urine osmolality 3) ... status, urine sodium ... #differential # ... hyponatremia #nephrology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
secondary AI, hyponatremia ... Hyperpigmentation is absent (low ... ACTH STIM TEST: ... 1. ... Diagnosis #Management #Endocrinology
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