27 results
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Check pregnancy test ... workup choices ... AND management options ... #Algorithm #Workup ... #Endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... dexamethasone test ... evaluation • Adrenal ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... autoantibody tests ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... Obstructive 4) Diagnosis ... and Workup 5) ... #criticalcare #
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
dexamethasone suppression test ... Hormone • MRI of adrenal ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary ... fungal infection, HIV ... A STIM test can ... ACTH STIM TEST: ... #Management #Endocrinology
HIV PrEP (Pre-Exposure Prophylaxis) - Truvada 

HIV Pre-Exposure Prophylaxis (PrEP) is available in the form of
& side effect management ... & pregnancy tests ... Renal function should ... PrEP actually works ... Truvada #Monitoring #Management
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
and Management ... the preferred test ... typically part of the workup ... • Test all patients ... for HIV, Chlamydia
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Inotropes - Adrenal ... #criticalcare # ... treatment #workup
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
/management of shock ... Troponin, TSH, CPK, HIV ... Urine Pregnancy Test ... Pearls #Checklist #diagnosis ... #workup #criticalcare