35 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 ... both cortisol and ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
- Diagnosis and ... Management Summary ... fungal infection, HIV ... A STIM test can ... #Management #Endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
dexamethasone suppression test ... between 11 pm and ... Hormone • MRI of adrenal ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Here's a quick summary ... fracture • ED Management ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
(RCC) - Diagnosis ... and Management ... Summary Clinical ... express Laboratory tests ... #Management #Summary
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
and Management ... Summary Bacteremic ... the preferred test ... typically part of the workup ... for HIV, Chlamydia
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Summary • Hypotension ... Inotropes - Adrenal ... #Management #Summary
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Here's a quick summary ... and PIP joints ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK