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

Early am cortisol < 3
AI; >17 rules this ... AI Measure ACTH ... High = primary AI ... - Low = secondary ... or tertiary AI
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
ACTH-Dependent (Secondary ... Polyglandular Autoimmune Syndrome ... Surgery, Radiation, Medication ... Insufficiency #AI ... #Causes #endocrinology
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes ... Hypertension • Medications ... , Drugs, Chemo: ... Anti VEGF agents, TKI ... tumor • Other low
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
AI, hyponatremia ... Causes of Secondary ... diagnostic of AI ... least 18 excludes AI ... diagnostic of AI
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Differential Diagnosis Algorithm ... High Al, High R - Secondary ... Differential #Diagnosis #Algorithm ... #nephrology #causes ... #low #potassium
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Common causes of ... Kidney Injury AKI ... inhibitors, hepatorenal syndrome ... nephropathy • Secondary ... Differential #Diagnosis #nephrology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... hypertension (multi-drug ... • AKI/CKD Mineralocorticoid ... #Nephrology #Differential
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
Hypothyroidism • Medication-induced ... • Inflammatory/AI ... Paraprotein-associated (POEMS syndrome ... , myeloma, secondary ... differential #diagnosis #causes
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
Differential Diagnosis Algorithm ... Uncontrolled • Drug ... licorice • Medications ... disease - CKD, AKI ... excess (Cushing syndrome
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
osmotic diuresis, Potassium ... renal disease • Drugs ... states, Primary or secondary ... differential #diagnosis #nephrology ... #magnesium #low