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differential causes adrenal insufficiency management dermatology disease hematology hypertension hyperthyroidism msk primary acth cushings evaluation fever generalized hypocalcemia infectiousdiseases injury
Evaluating a Patient with Presumed Cushing Syndrome #Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
#Cushings #Syndrome ... #Disease #Algorithm ... #Workup #Dexamethasone ... #Suppression #Test ... #diagnosis
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
- Differential Diagnosis ... Workup Algorithm ... or tuberculosis Secondary ... #Workup #Algorithm ... #endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Algorithm Radioactive ... Check pregnancy test ... workup choices ... #Algorithm #Workup ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Algorithm - Evaluation ... Standard Stim test ... #Algorithm #ACTH ... #Stimulation #Test ... #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
- Differential Diagnosis ... (Secondary): • ... Polyglandular Autoimmune Syndrome ... Disseminated Fungal, HIV ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... Algorithm Clinical ... ACTH) stimulation test ... baseline ACTH - Secondary ... #Algorithm #endocrinology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Cushing Syndrome ... Testing Algorithm ... dexamethasone suppression test ... #diagnosis #algorithm ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Differentiate primary vs secondary ... consistent with secondary ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Fasciculata: Cushing Syndrome ... dexamethasone test ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup ... - Differential Diagnosis ... Algorithm • Low ... Infiltrative disorders, HIV ... metastases, Hungry bone syndrome
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