Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Primary and Secondary Headache Types - Differential Classification

- By Dr. Eric Strong @DrEricStrong

#Headaches #Primary #Secondary #Types
Primary and Secondary ... Headache Types ... #Headaches #Primary ... #Secondary #Types ... #Table
Hyperparathyroidism classification
Different causes and features of hyperparathyroidism - raised parathormone (PTH).

#Diagnosis #Hyperparathyroidism #Differential #Primary #Secondary #Tertiary
Hyperparathyroidism classification ... Different causes and features ... #Differential #Primary ... Tertiary #Comparison #Table ... #Classification
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Ureterosigmoidostomy Urinary ... and 2, but not type ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... Clinical features ... due to high ACTH stimulating ... , only seen in PRIMARY ... findings (see algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
diagnostic of primary ... suggests EITHER primary ... ACTH: - High = primary ... AI - Low = secondary ... #ACTH #Stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... hormone (ACTH) stimulation ... Baseline plasma ACTH Low ... baseline ACTH - Primary ... insufficiency β€’ Low
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... Differentiate primary ... - Low ACTH is ... consistent with primary
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... water intake (Primary ... polydipsia), Low ... differential #diagnosis #table
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
paroxysmal HTN, most primary ... and panic attack-type ... hypotension (may reflect low ... alpha-adrenoceptor stimulation ... pheochromocytoma: primary