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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differential endocrinology insufficiency table acth cushing hypertension hyponatremia hypotonic nephrology physiologic screening secondary sodium stimulation syndrome workup
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Hormone • MRI of adrenal ... Cushing #Syndrome #diagnosis ... #Adrenal #Hyperfunction
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... #Differential #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #Algorithm #ACTH
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... or low Uosm), Hypothyroidism ... , Adrenal Insufficiency ... #differential #diagnosis
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