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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21 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 β€’ Autoimmune primary adrenal insufficiency
 β€’ Adrenoleukodystrophy,
Adrenal Insufficiency ... Diagnosis Workup Algorithm ... Primary Adrenal Insufficiency ... Diagnosis #Workup #Algorithm ... #endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 Β΅g cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm ... #Stimulation #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Primary adrenal insufficiency ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... Diagnosis Algorithm ... findings (see algorithm ... #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... BCM_InternalMed #Adrenal #Insufficiency ... #Diagnosis #Algorithm ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 β€’ Pituitary Dysfunction
 β€’ Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal Insufficiency ... Differential Diagnosis Algorithm ... SCVMCMed #Adrenal #Insufficiency ... Differential #Diagnosis #Algorithm ... #Causes #endocrinology
Algorithm for the Treatment of Severe Hypoglycemia

Step #1:  IV dextrose bolus

Step #2:  food (if
Algorithm for the ... Treatment of Severe ... octreotide #Algorithm ... #Treatment #Severe ... Hypoglycemia #Management #Endocrinology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Anaphylaxis, Adrenal Insufficiency ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... AI #Adrenal #Insufficiency ... #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... kaliuresis #management #criticalcare ... #treatment #diuretics ... diuresis #nephrology #algorithm