11 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... , hypoglycemia Testing ... ) stimulation test ... #Differential #Diagnosis ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... autoantibody tests ... stimulation test ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
dexamethasone suppression test ... Hormone • MRI of adrenal ... #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
is absent (low ACTH ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST: ... #Management #Endocrinology
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Syndrome Definition ... Differential Diagnosis ... Disease-specific testing ... , biopsy By Tess ... #diagnosis #nephrology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Cushing's Syndrome ... Hypercortisolism - Diagnosis ... dexamethasone suppression test ... the abdomen for adrenal ... signs #symptoms #endocrinology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
: Differential Diagnosis ... because of ectopic ACTH ... of congenital adrenal ... Refeeding after fasting ... #Causes #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Posterior Reversible ... Immunosuppressive agents, Renal ... factor PRES Diagnosis ... thrombosis Testing ... #neurology