8 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
, hypotension, hyponatremia ... , hypoglycemia Testing ... ACTH) stimulation test ... baseline ACTH - Secondary ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... am cortisol < 3 ... then go to stim testing ... Standard Stim 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
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Serum Osmolarity 2) ... Urine Osmolarity 3) ... High Uric Acid → renal ... salt wasting By ... #nephrology #sodium
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
AI, hyponatremia ... A STIM test can ... 8am cortisol <3 ... ACTH STIM TEST: ... Diagnosis #Management #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
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... heart failure, neurologic ... or acute kidney injury ... Vasculitis • Endocrinologic ... Neurologic disorders
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
• Acne • If secondary ... is decreased), hypernatremia ... dexamethasone suppression test ... ACTH levels 3) ... signs #symptoms #endocrinology