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diagnosis causes algorithm management endocrinology nephrology hyponatremia rheumatology classification hypertension table workup acute criticalcare hypokalemia kidney neurology potassium acth activetb
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
Adrenal Insufficiency ... Adrenal Insufficiency ... adrenal insufficiency ... or tuberculosis Secondary ... Adrenal Insufficiency
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... ACTH) stimulation test ... baseline ACTH - Primary ... adrenal insufficiency ... baseline ACTH - Secondary
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... • Cushing’s syndrome ... Acromegaly #Secondary ... #Hypertension #Differential
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... adrenal insufficiency ... Secondary Adrenal ... adrenal insufficiency ... adrenal insufficiency
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... OR secondary AI ... Standard Stim test ... #Insufficiency ... #Stimulation #Test
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Insufficiency - ... Differential Diagnosis ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... Polyglandular Autoimmune Syndrome
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... Diagnosis Algorithm Syndrome ... Hypothyroidism • Adrenal ... insufficiency ... suppression • Primary
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... Diagnosis Algorithm Syndrome ... Hypothyroidism • Adrenal ... insufficiency ... suppression • Primary
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Hypokalemia - Differential ... suggests either secondary ... or primary hyperaldosteronism ... • Primary Hyperaldosteronism ... #hypokalemia #differential
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - ... Step 3) Differentiate ... primary vs secondary ... consistent with primary ... #Insufficiency
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