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 causes hypokalemia insufficiency acth cushing hypercalcemia hypomagnesemia hypomg hyponatremia hypotonic magnesium nephrology physiologic potassium sodium stimulation syndrome workup
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Syndrome Testing Algorithm ... Cortisol, Saliva • Low ... suppression test (DST) protocol ... #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Baseline plasma ACTH Low ... insufficiency • Low ... #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Hypercalcemia - Differential ... Diagnosis Algorithm ... Hypercalcemia Low ... Tumors: Lung, SCC, renal ... #causes #endocrinology
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Hypokalemia Differential ... Diagnosis Algorithm ... Low intake ... #Diagnosis #Algorithm ... #Causes #Classification
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... Step 3) Differentiate ... - Low ACTH is ... #Stimulation #Endocrinology
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Hypokalemia - Differential ... Mineralocorticoid excess - Renal ... #Diagnosis #Low ... #Potassium #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 ... Hypothyroidism, Adrenal ... #Hyponatremia #differential ... #diagnosis #table
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
diarrhea / IBD Renal ... Hypomagnesemia #Differential ... #Diagnosis #Low ... #Magnesium #Table ... #Classification
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