50 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Evaluation of HPA Axis ... Response to ACTH ... Stim test is 250 mcg ... Insufficiency #Diagnosis #Algorithm
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
ECG of a 32-year-old ... Cath showed 100% ... ProximalLAD #Occlusion #ECG ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Clinical suspicion ... Baseline plasma ACTH ... High baseline ACTH ... Differential #Diagnosis #Algorithm
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Diagnosis and Clinical ... exposed tothe sun (e.g ... gluconeogenesis enzymes (e.g ... hyperplasia of both the zona ... fasciculata and zona
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
Differential Diagnosis Algorithm ... • GH • ACTH ... Physiological (e.g ... Compensation (e.g ... Differential #Diagnosis #Algorithm
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Fascicular Block on EKG ... • Left axis deviation ... diagnosis #cardiology #EKG ... #ECG #Electrocardiogram ... #labeled #clinical
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Differential Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... High Plasma E2 +Clinical ... Differential #Diagnosis #Algorithm
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Differential Diagnosis Algorithm ... Thrombophilia • Critical ... adrenomyeloneuropathy ACTH ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... Clinical features ... skin (due to high ACTH ... findings (see algorithm ... Insufficiency #Diagnosis #Algorithm
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
ECG with concerning ... Taken to cath lab ... Echocardiogram #clinical