Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis differential management shock adrenal classification stimulation treatment types acth ai challenges cosyntropin curves dyspnea edema embolism fluid guyton hematology
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis Algorithm ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Anaphylaxis • Adrenal insufficiency ... #shock #causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... abdominal pain, hypotension ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... GI distress - Hypotension ... findings (see algorithm ... #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... • Drugs • Pulmonary ... polydipsia • Insufficient ... #Causes
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... Differential Diagnosis Algorithm ... SCVMCMed #Adrenal #Insufficiency ... #Causes #endocrinology
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Causes of Dyspnea ... Differential Diagnosis Algorithm ... hypertension ... Differential #Diagnosis #Algorithm ... #Causes
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • Bova score
Pulmonary Embolism ... class (30-day all cause ... Stable, Transient Hypotension ... @nickmmark #Pulmonary ... stratification #criticalcare
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
: Most Common Cause ... Adrenalitis Other causes ... orthostatic or frank hypotension ... Causes of Secondary ... Diagnosis #Management #Endocrinology
Causes of Peripheral Edema - Differential Diagnosis Increased Hydrostatic Pressure • Volume Expansion: Kidney failure, Pregnancy, Medication
Causes of Peripheral ... Obstruction / Insufficiency ... Heart failure, Pulmonary ... hypertension, Cirrhosis ... EricsMedicalLectures/ #Causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
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