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Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... ultrasound; MRA; abdominal ... angiography • Primary ... CT scan, adrenal ... #Differential #Diagnosis
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... /vomiting • Abdominal ... Serum DHEAS Diagnosis ... clue • Blood tests ... endocrinology #diagnosis
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Weakness, fatigue, nausea ... volume depletion, abdominal ... ACTH) stimulation test ... baseline ACTH - Primary
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... , only seen in PRIMARY ... around 6-8AM) – if value ... cosyntropin stimulation test ... interact with stim test
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... #Stimulation #Test
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... of major normal value ... incremental increase to assess
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Management Summary Primary ... ) w/ anorexia, abdominal ... A STIM test can ... ACTH STIM TEST: ... Insufficiency #Primary
Causes of Acute Onset Fever - Differential Diagnosis Algorithm Viral: • Rhinovirus • Influenza Virus • Parainfluenza
Causes of Acute ... - Differential Diagnosis ... Skin Infection Abscess ... • Thoracic • Abdominal ... storm • Acute Adrenal
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... ACTH stimulation test ... aldosterone - Low in cases ... autoimmune-mediated primary ... Evaluation #laboratory #diagnosis
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Causes of Acute ... Urinary calculi ... Urethral stricture/valves ... /phimosis #Diagnosis ... GrepMed Recommended Text
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