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 hyponatremia nephrology table acth sodium stimulation cushing hypertension hypotonic physiologic screening secondary syndrome unintentional weightloss workup
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Algorithm Clinical ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test
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 ... endocrinology #Adrenal ... #Hyperfunction
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Diagnosis Algorithm ... Hormonal changes • Hypothyroidism ... • Adrenal insufficiency
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... #Hypertension #Differential
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... • Euvolemic - Hypothyroidism ... , adrenal insufficiency ... #causes #nephrology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... require Cosyntropin testing ... Step 3) Differentiate ... #Insufficiency
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... Cerebral salt wasting ... Endocrinopathies - Hypothyroidism ... - Adrenal insufficiency ... Diagnosis #Table #Causes
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 ... #Hyponatremia #differential
Causes of Unintentional Weight Loss - Differential Diagnosis Malignancy - Tumor effect* (esp. Gl, lung, lymphoma)
Causes of Unintentional ... Weight Loss - Differential ... Uncontrolled diabetes, Hyperthyroidism ... , Chronic adrenal ... insufficiency
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