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diagnosis causes criticalcare insufficiency adrenalmass management stimulation treatment acidosis acth benign cardiology chf classification cosyntropin curves elevation foamed guyton heartfailure
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... Algorithm Hypovolemic ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Anaphylaxis • Adrenal
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Clinical features ... - Hypotension, shock ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... ACTH) stimulation test ... #Diagnosis #Algorithm ... #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Benign Adrenal Mass ... - Differential ... High Plasma E2 +Clinical ... Dexamethasone Suppression Test ... #Endocrinology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... , Anaphylaxis, Adrenal ... • Obstructive: Pulmonary ... #Differential # ... #criticalcare #algorithm
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... Step 3) Differentiate ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Hyperglycemia - Differential Diagnosis Algorithm Diabetes Mellitus: • Impaired Glucose Tolerance • Type I Diabetes • Type
Hyperglycemia - Differential ... Diagnosis Algorithm ... agonists • Others Critical ... Burns, Sepsis) • Shock ... #endocrinology
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Mass - Differential ... Diagnosis Algorithm ... High Plasma E2 + Clinical ... Dexamethasone Suppression Test ... #Endocrinology
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... Failure, Endocrine (adrenal ... albumin, trauma), Renal ... #diagnosis #differential
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Hypoglycemia - Differential ... Diagnosis Algorithm ... Other Causes: • Critical ... #Diagnosis #Algorithm ... #endocrinology
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