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 endocrinology insufficiency hypokalemia low nephrology potassium workup ai hypertension hypomagnesemia hypomg hyponatremia hypotonic magnesium physiologic screening sodium stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... hyponatremia, hyperkalemia ... - Primary adrenal ... - Secondary adrenal
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
- Differential ... Primary Adrenal ... • Autoimmune primary ... or tuberculosis Secondary ... apoplexy • Isolated ACTH-deficiency
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
- Differential ... Diagnosis Algorithm ... suggests either secondary ... syndrome, Congenital adrenal ... #differential #
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Insufficiency - Differential ... Diagnosis Algorithm ... ACTH-Dependent ... (Secondary): • ... (Primary): • Autoimmune
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 3) Differentiate ... primary vs secondary ... consistent with primary ... Insufficiency #Algorithm
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... (correction of hypokalemia ... Acromegaly #Secondary ... Screening #Workup #table
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... - Hypokalemia ... Hypomagnesemia #Differential ... Low #Magnesium #Table ... #Classification
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... High Al, Low R - Primary ... High Al, High R - Secondary ... Syndrome, Congenital Adrenal
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Hypokalemia - Differential ... Ureterosigmoidostomy Urinary ... #Differential # ... 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 ... : Hypovolemia, Hypervolemia ... water intake (Primary ... #Hyponatremia #differential ... #diagnosis #table
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