10 results
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... Insufficiency #Evaluation #laboratory ... #diagnosis #testing ... #endocrinology ... #workup
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm Clinical ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... Diagnosis #Algorithm #endocrinology
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
Related Disease Clinical ... pancreas, biliary, renal ... relapse No specific laboratory ... tests: • IgG4 ... management #phenotypes #workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... perfusion - shock->treatments ... - assess other laboratory ... or diagnostic tests ... before beginning treatment
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... Diagnosis and Workup ... glucose suppression test ... • Pituitary testing ... #Treatment #Pathophysiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... shunt (Type 2) Clinical ... IPVDs Diagnostic Testing ... Arterial blood gas (ABC ... 10 minutes of rest
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... days → add fungal work-up ... Treat underlying cause ... radiology for possible stenting ... , hypotension, renal
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
unique approach and workup ... DISLOCATION: ~25% cases ... nerve injury (25%) TEST ... ligament/meniscus testing ... WORK UP: obtain
Erythema Nodosum Overview

Definition: 
 • EN is an inflammatory condition characterized by tender, red nodules, typically
) Clinical Presentation ... the ankles and knees ... Laboratory Tests ... Tuberculin skin test ... Symptomatic Treatment
Celiac disease is an immune-mediated, multisystem disorder that affects genetically susceptible individuals who are exposed to
as the elbows, knees ... negative serologic test ... for whom clinical ... Genetic testing ... is the primary treatment