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diagnosis differential algorithm management nephrology insufficiency hematology secondary treatment primary classification disease hypertension hyponatremia pathophysiology table criticalcare gastroenterology hirsutism hypercalcemia
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
and Screening Testing ... ultrasound, Tests ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... #Screening #Workup
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Cushing Syndrome ... dexamethasone suppression test ... Hormone • MRI of adrenal ... diagnosis #algorithm #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Adrenal Insufficiency ... Cosyntropin Stimulation Test ... BCM_InternalMed #Adrenal ... Insufficiency #Testing ... #Stimulation #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... Diagnosis #Algorithm #endocrinology
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Adrenal Incidentalomas ... Fasciculata: Cushing Syndrome ... dexamethasone test ... Evaluation #Diagnosis #workup ... #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... aldosterone - Low in cases ... laboratory #diagnosis #testing ... #endocrinology ... #workup
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
clue • Blood tests ... ACTH stimulation test ... present - ACTH test ... DEXAMETHASONE - ACTH test ... addisons #disease #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
unclear (often the case ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Hirsutism & Virilization - Differential Diagnosis Algorithm ADRENAL EXCESS Ovarian • Polycystic Ovarian Syndrome • Hyperthecosis • Tumor Adrenal
Diagnosis Algorithm ADRENAL ... Hyperthecosis • Tumor Adrenal ... • Congenital Adrenal ... Diagnosis #Algorithm #endocrinology ... #causes
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Mg wasting syndromes ... - Gitelman syndrome ... - Hungry bones syndrome ... Classification #Causes ... #Workup #hypomg
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