42 results
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - Differential ... ACTH-Dependent (Secondary ... Polyglandular Autoimmune Syndrome ... Insufficiency #AI ... Algorithm #Causes #endocrinology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Waterhouse-Friderichsen syndrome ... canimorsus • Virus ... Insufficiency #AI ... #differential # ... diagnosis #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Step 3) Differentiate ... primary vs secondary ... consistent with secondary ... #Stimulation #Endocrinology
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
Neuropathy • Metabolic ... • Inflammatory/AI ... Paraprotein-associated (POEMS syndrome ... , myeloma, secondary ... Peripheral #Neuropathy #differential
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Low intake • Metabolic ... Losses: • Metabolic ... #Hypokalemia #Differential ... potassium #low #nephrology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... hypotension In secondary ... Causes of Secondary ... hypophysitis, Sheehan's syndrome ... Diagnosis #Management #Endocrinology
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
High Anion Gap Metabolic ... Acidosis (HAGMA) - Differential ... with short bowel syndrome ... Acidosis #HAGMA #Differential ... GOLDMARK #mnemonic #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Hypokalemia - Differential ... suggests either secondary ... Hyperaldosteronism • Secondary ... #hypokalemia #differential ... algorithm #causes #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Alkalosis - Differential ... #Primary #Metabolic ... #Alkalosis #Differential ... Diagnosis #Algorithm #nephrology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... Hypertension - Differential ... multi-drug resistance) Renal ... Unilateral RAS Metabolic ... #Nephrology #Differential