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Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypotension, hyponatremia ... , hypoglycemia Testing ... ) stimulation test ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Step 2) Confirmation ... Step 3) Differentiate ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... am cortisol < 3 ... then go to stim testing ... Standard Stim test ... #Test #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
skin (due to high ACTH ... hypoglycemia, Hyponatremia ... if value is < 3, ... /inconclusive (3- ... Stimulation #StimTest #Endocrinology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Diagnosis Algorithm ... history Step #2 ... Uglucose Step #3 ... & desmopressin test ... #Sodium #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Diagnosis Algorithm ... Serum Osmolarity 2) ... Urine Osmolarity 3) ... Acid → renal salt wasting ... #nephrology #sodium
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
secondary AI, hyponatremia ... A STIM test can ... ACTH STIM TEST: ... 2. ... Diagnosis #Management #Endocrinology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... 2) Is ADH elevated ... 3) Is it appropriate ... up to 3x in the setting ... #management #nephrology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
disturbance, psychosis 3) ... is decreased), hypernatremia ... dexamethasone suppression test ... levels 3) Ectopic ... signs #symptoms #endocrinology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Hyperuricemia • Hyponatremia ... obstruction 3. ... disease 2. ... output: 200 ml/hr 3. ... #nephrology
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