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 insufficiency hypercalcemia management treatment acth ai amylase associated coronavirus covid19 cushing elevated emergencies evaluation hemeonc hyperamylasemia hyperfunction hyponatremia
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Syndrome Testing Algorithm ... suppression test (DST) protocol ... Hormone • MRI of adrenal ... #endocrinology ... #Adrenal #Hyperfunction
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Differential Diagnosis Algorithm ... Thrombophilia (adrenal ... Differential #Diagnosis #Algorithm ... #Causes #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... Differential #Diagnosis #Algorithm ... #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis Algorithm ... Tumors: Lung, SCC, renal ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... Insufficiency #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Clinical Evaluation Guide ... Cardiac: multiple case ... UCSF COVID-19 ID ... #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
Differential Diagnosis Algorithm ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID ... - Renal failure
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
• Discuss with endocrinology ... — discuss with endocrinology ... SIADH — look for cause ... hourly • Identify Cause ... Hyponatremia #Management #algorithm
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... Hypercalcemia - Renal ... Calcitonin Refractory Cases ... hypercalcemia #Treatment #algorithm ... #management #endocrinology
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
allopurinol 300 mg BID ... Treat underlying cause ... Consider TEG to guide ... , hypotension, renal
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