48 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... , hypoglycemia Testing ... ACTH) stimulation test ... #Differential #
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... Ulnar Nerve Palsy ... This tests for ... weakness caused by ulnar ... nerve palsy, testing
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Cosyntropin Stimulation Test ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm
Algorithm for the diagnosis of chronic diarrhea.
It is usually impractical to test and treat the many
impractical to test ... diarrhea before testing ... reduce unnecessary testing ... pick specific tests ... the much smaller differential
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... Secondary Adrenal Insufficiency ... secondary adrenal insufficiency ... laboratory #diagnosis #testing
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... AI #Adrenal #Insufficiency ... #Stimulation #Test
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... Step 1) Screening Test ... require Cosyntropin testing ... Step 3) Differentiate ... ) #Adrenal #Insufficiency
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Additional laboratory tests ... chronic kidney tests ... Test for celiac ... Non-invasive testing ... endoscopy • Insufficient
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
hydrogen breath test ... A/P, Consider testing ... Abdominal imaging (CT, ultrasound ... celiac and/or testing ... Workup #diagnosis #differential
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... disease - Renal ultrasound ... Duplex Doppler ultrasound ... #Hypertension #Differential