10 results
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
Syndrome #Cushings ... #Syndrome #Disease ... #Algorithm #Workup ... #Suppression #Test ... #diagnosis
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Testing Algorithm ... dexamethasone suppression test ... #Syndrome #diagnosis ... #algorithm #endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Zona Fasciculata: Cushing ... Syndrome? ... dexamethasone test ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
Algorithm Diabetes ... Endocrinopathy: • Cushing's ... Syndrome • Acromegaly ... Hyperglycemia (e.g ... #Algorithm #endocrinology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... , Cushing syndrome ... #Differential #Diagnosis ... #Workup #Algorithm
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
- Differential Diagnosis ... Algorithm Normal ... Endrocrine • Cushing's ... #Differential #Diagnosis ... #Algorithm #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Cushing's Syndrome ... Hypercortisolism - Diagnosis ... dexamethasone suppression test ... #Diagnosis #signs ... #symptoms #endocrinology
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
- Differential Diagnosis ... Algorithm Suggestive ... Polycystic Ovarian Syndrome ... Dexamethasone Suppression Test ... #Algorithm #Endocrinology
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
Algorithm Primary ... taken at home, work ... Glucocorticoid excess (Cushing ... syndrome or disease ... Secondary #HTN #Cardiology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... Vasculitis • Endocrinologic ... Hypercalcemia, Cushing's ... #Hypertension #Workup