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diagnosis algorithm causes insufficiency dermatology generalized hypertension pruritus systemic workup acth ai cushings hypercortisolism indications management screening signs stimulation symptoms
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
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... ACTH) stimulation test ... baseline ACTH - Primary ... baseline ACTH - Secondary ... Diagnosis #Algorithm #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Insufficiency - Differential ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... Polyglandular Autoimmune Syndrome ... Algorithm #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Step 3) Differentiate ... primary vs secondary ... consistent with secondary ... consistent with primary ... #Stimulation #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Management Summary Primary ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST: ... #Management #Endocrinology
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
- Generalized Differential ... Liver Function Tests ... BUN: • Chronic renal ... Myelodisplastic syndrome ... #secondary #systemic
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary ... Hypertension - Workup and Differential ... Vasculitis • Endocrinologic ... Hypothyroidism, Primary ... Workup #causes #Differential
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Cushing's Syndrome ... • Acne • If secondary ... not a feature of primary ... dexamethasone suppression test ... signs #symptoms #endocrinology
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Liver Function Tests ... BUN: • Chronic renal ... Myelodisplastic syndrome ... #Pruritus #secondary
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