19 results
diagnosis differential algorithm causes adrenal insufficiency secondary stimulation acth calcium management tertiary workup elevated evaluation gout high highcalcium hyperparathyroidism hypertension
Causes of Hypercalcemia Hypercalcemia due to increased bone Ca2+ resorption: • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... Hypercalcemia ... resorption: • Primary ... due to decreased urinary ... calcium #high #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
, only seen in PRIMARY ... Hyponatremia, hyperkalemia ... , proceed with cosyntropin ... Diagnosis #Algorithm #Cosyntropin ... Stimulation #StimTest #Endocrinology
Hypercalcemia Diagnosis Algorithm - Primary Hyperparathyroidism - FHH - Hypercalcemia of malignancy - Local osteolytic hypercalcemia
Hypercalcemia Diagnosis ... Algorithm - Primary ... Local osteolytic hypercalcemia ... edgarvlermamd #Hypercalcemia ... Diagnosis #Algorithm #endocrinology
Causes of Hypercalcemia - Differential Diagnosis Algorithm • Primary Hyperparathyroidism • Possible Familial Hypocalciuric Hypercalcemia
Causes of Hypercalcemia ... Algorithm • Primary ... Hypocalciuric Hypercalcemia ... • Humoral Hypercalcemia ... Algorithm #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
– 15), require Cosyntropin ... Stimulation - Cosyntropin ... Differentiate primary ... consistent with primary ... #Stimulation #Endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Hypercalcemia - ... Diagnosis Algorithm Primary ... Hypocalciuria Hypercalcemia ... Other Familial Hypercalcemias ... Diagnosis #Algorithm #Endocrinology
Syphilis - Diagnosis and Management - Primary vs Secondary vs Tertiary Primary Syphilis • Localized lymphadenopathy •
Syphilis - Diagnosis ... and Management - Primary ... Secondary vs Tertiary Primary ... #Primary #Secondary ... #Tertiary #Comparison
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Hypercalcemia - ... or normal): • Primary ... Hypocalciuric Hypercalcemia ... Thiazides/Lithium #Hypercalcemia ... Algorithm #causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
diagnostic of primary ... 250 mcg of IV Cosyntropin ... suggests EITHER primary ... ACTH: - High = primary ... Stimulation #Test #Endocrinology
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... → Primary hyperapara ... → Primary hyperpara ... BrighamChiefs #Hypercalcemia ... differential #diagnosis #endocrinology
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