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 endocrinology insufficiency hypokalemia low nephrology potassium acth criticalcare management shock stimulation workup allergy back comparison eosinophilia hyperparathyroidism hypertension hypomagnesemia
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... OR secondary AI ... unclear (often the case ... or secondary AI ... AI - Low = secondary
Hyperparathyroidism classification Different causes and features of hyperparathyroidism - raised parathormone (PTH). #Diagnosis #Hyperparathyroidism #Differential #Primary #Secondary #Tertiary
Different causes ... Hyperparathyroidism #Differential ... #Primary #Secondary ... Tertiary #Comparison #Table ... #Classification
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Diagnosis Algorithm ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... Insufficiency #AI
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 ... #diagnosis #algorithm
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 ... Acromegaly #Secondary ... #Hypertension #Differential ... Screening #Workup #table
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... baseline ACTH - Primary ... baseline ACTH - Secondary
Eosinophilia - Differential Diagnosis Algorithm Idiopathic Eosinophilia Primary Eosinophilia: • Primary hypereosinophilic syndrome • Eosinophilic Leukemia • MPN/MDS
Eosinophilia - Differential ... Diagnosis Algorithm ... familial eosinophilia Secondary ... bartonella) • Rheum/AI ... Eosinophilic pneumonia, Adrenal
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Diagnosis Algorithm ... High Al, Low R - Primary ... High Al, High R - Secondary ... Syndrome, Congenital Adrenal ... #nephrology #causes
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Hypokalemia - Differential ... Ureterosigmoidostomy Urinary ... Low #Potassium #Table ... #Classification ... #Causes
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