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differential causes secondary adrenal evaluation management acromegaly adrenalmass angina chestpain cushing cushings ebm hormone htn hypercortisolism hyperfunction hyperthyroidism incidentaloma indications
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
weakness, refractory hypertension ... dexamethasone suppression test ... Hormone • MRI ... #diagnosis #algorithm ... #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary Hypertension ... - Differential Diagnosis ... CT or MRI scan of ... Causes #Screening #Workup ... #table
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
hypokalemia and/or hypertension ... Fasciculata: Cushing Syndrome ... dexamethasone test ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
- Differential Diagnosis ... Algorithm Primary ... taken at home, work ... excess (Cushing syndrome ... Secondary #HTN #Cardiology
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Algorithm Suggestive ... on TI Weighted MRI ... Polycystic Ovarian Syndrome ... Dexamethasone Suppression Test ... #Algorithm #Endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
- Workup and Differential ... Diagnosis Approach ... with previously stable ... Vasculitis • Endocrinologic ... #Workup #causes
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
- Differential Diagnosis ... Algorithm Neurocardiogenic ... • Orthostatic Hypotension ... Contractility: • MI ... #Syncope #Cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... Angina Stress Test ... acute coronary syndrome ... Angina #ChestPain #Diagnosis ... #Cardiology #EBM
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... Hyperthyroidism: Work-up ... Hyperthyroidism → MRI ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Cushing's Syndrome ... Hypercortisolism - Diagnosis ... 5) Secondary hypertension ... dexamethasone suppression test ... signs #symptoms #endocrinology
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