20 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
if value is < 3, ... /inconclusive (3- ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential Diagnosis ... Diabetes Insipidus Workup ... Uglucose Step #3 ... & desmopressin test ... Algorithm #Sodium #nephrology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... am cortisol < 3 ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... administration Step 3. ... hypothyroidism • adrenal insufficiency ... #Nephrology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - ... Step 3) Differentiate ... ) #Adrenal #Insufficiency ... #Stimulation #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
A STIM test can ... 8am cortisol <3 ... ACTH STIM TEST: ... of cosyntropin 3. ... #Management #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
anticoagulation, DIC ... Serum DHEAS Diagnosis ... Serum cortisol < 3 ... addisons #disease #endocrinology ... #diagnosis #signs
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
- Differential Diagnosis ... Framework and Workup ... HCO3 - Renal insufficiency ... high/normal 3. ... #Workup #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... (e.g NSAlDs) 3) ... FIX THE PROBLEM ... KidneyInjury #simplified #workup ... #diagnosis #nephrology