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adrenal endocrinology insufficiency nephrology stimulation addisons alkalosis causes chloride disease hyponatremia hypophosphatemia hypotonic metabolic phosphorus physiologic signs symptoms table test
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
AI; >17 rules this ... or secondary AI ... AI - Low = secondary ... or tertiary AI ... #Algorithm #ACTH
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
specificity for AI ... > 15 excludes AI ... AI. ... - Low ACTH is ... #Diagnosis #ACTH
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Diagnosis Algorithm ... ACTH-Dependent ... (Primary): • Autoimmune ... Insufficiency #AI ... Diagnosis #Algorithm
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
• Weakness • Low-grade ... Serum DHEAS Diagnosis ... AI present - ... AI present - ... endocrinology #diagnosis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... water intake (Primary ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Diagnosis Algorithm ... Appropriately Low ... • N Vitamin D: Primary ... Hyperparathyroidism, TKI ... #Diagnosis #Algorithm
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Chloride Algorithm ... alkalosis • Normal/low ... the excretion of sodium ... #nephrology #differential ... #diagnosis
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