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diagnosis differential adrenal acth hyponatremia stimulation workup ai eczematous evaluation generalized genital gout hematology hyperuricemia hypokalemia hypotonic laboratory management physiologic
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... baseline ACTH - Primary ... • Low or normal ... baseline ACTH - Secondary ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... AI - Low = secondary ... Stimulation #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... #Causes #endocrinology
Hyperuricemia - Differential Diagnosis Algorithm Primary - Over-production • Increased turnover of nucleotides Primary
Primary - Over-production ... of nucleotides Primary ... Others • Psoriasis ... #endocrinology ... #causes
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Causes == Primary ... dermatitis • Psoriasis ... #secondary #systemic ... #generalized #dermatology ... #causes
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Vasopressin-independent - Consider: Primary ... polydipsia, Low ... intake, Renal insufficiency ... #causes #nephrology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... vs secondary AI ... - Low ACTH is ... #Stimulation #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Management Summary Primary ... Hyperpigmentation is absent (low ... Causes of Secondary ... #Primary #Secondary ... Diagnosis #Management #Endocrinology
Genital Lesions - Differential Diagnosis Algorithm Elevated - Vesicles: • Herpes simplex Elevated - Papules / Plaques -
acuminata) • Secondary ... Lichen planus • Psoriasis ... - Painless • Primary ... #skinlesions #dermatology ... #causes
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Differential Diagnosis Algorithm ... R - Primary aldosteronism ... High Al, High R - Secondary ... Differential #Diagnosis #Algorithm ... #nephrology #causes
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