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differential management signs symptoms insufficiency algorithm classification erythematosus hematology lupus primary syndrome systemic vasculitis workup acidosis addisons behcet causes cosyntropin
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
findings (see algorithm ... around 6-8AM) – if value ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Systemic Lupus Erythematosus - Summary Antinuclear (ANA) - 95% - Initial screening test Anti-dsDNA - 50% • Associated
Initial screening test ... & renal involvement ... • Specific for SLE ... #Summary #diagnosis ... #rheumatology #
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Insufficiency Addison's Disease ... Nausea/vomiting • Abdominal ... Serum DHEAS Diagnosis ... #endocrinology ... #diagnosis #signs
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
or metastatic disease ... ) w/ anorexia, abdominal ... A STIM test can ... ACTH STIM TEST: ... #Management #Endocrinology
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
valve lesions Abdominal ... pain (20%) Renal ... disease (30%): ... signs #symptoms #diagnosis ... #rheumatology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
is a skin prick test ... Oral aphthae : SLE ... • Arthritis: SLE ... • Nonsurgical abdominal ... signs #symptoms #rheumatology
TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura Activity of von Willebrand factor-cleaving protease activity - A
activity - A low value ... hallmark for the disease ... If the value is ... low, tests to detect ... #Workup #Hematology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- GI tract: abdominal ... Supply gut -> abdominal ... retinopathy Lab Tests ... vasculitis, and SLE ... #rheumatology #
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... classically purple abdominal ... dexamethasone suppression test ... the abdomen for adrenal ... signs #symptoms #endocrinology
Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
that a one-off value ... some time, let’s see ... can drive this disease ... As with many disease ... Best to have an
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