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causes nephrology algorithm adrenal hyponatremia workup hypertension hypomagnesemia magnesium metabolic acidosis acth acute ai aki cauda caudaequina complications dermatology dialysis
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... • Low or normal ... baseline ACTH - Secondary ... #Differential # ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Insufficiency - ... Differential Diagnosis ... ACTH-Dependent (Secondary ... #AI #Differential ... #Causes #endocrinology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Beer Potomania - Low ... Hypothyroidism, adrenal insufficiency ... #causes #nephrology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - ... specificity for AI (but low ... Step 3) Differentiate ... - Low ACTH is ... #Stimulation #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
hypotension In secondary ... Hyperpigmentation is absent (low ... Causes of Secondary ... #Primary #Secondary ... #Endocrinology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Primary polydipsia, Low ... intake, Renal insufficiency ... #differential # ... algorithm #causes ... #nephrology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
between 8 and 9 AM - Low ... aldosterone - Low ... in cases in which ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Hypomagnesemia - Differential Diagnosis Renal Causes of Hypomagnesemia - Familial: Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Diagnosis Renal ... Hypomagnesemia with secondary ... #diagnosis #causes ... #nephrology #magnesium ... #low
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Secondary Causes ... Hypertension - Differential ... Diagnosis Algorithm ... Hypertensive urgency or emergency ... #Nephrology #Differential
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... High Al, High R - Secondary ... #Diagnosis #Algorithm ... #nephrology #causes
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