Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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59 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 Β΅g cosyntropin given IV
T30m: Repeat
Insufficiency Algorithm ... - Cosyntropin Stimulation ... Test T-1m: Baseline ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 β€’ Low TSH, Low normal T4
Thyroid Function Tests ... Evaluation of Hyperthyroidism ... Can repeat labs ... Iodine Uptake & Scan ... #algorithm #diagnosis
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Cosyntropin is an ... cortisol level should
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... adrenal function - An ... #ACTH #Stimulation
Crank Test for Labral Tear of the Shoulder

To perform the Crank Test, fully abduct the shoulder
Tear of the Shoulder ... fully abduct the shoulder ... and provide an ... open_michigan #Shoulder ... video #sports #msk
β–Ί
Empty Can (Jobe) Test on Shoulder Exam

Supraspinatus muscle testing strength can also be done using the
Test on Shoulder ... Supraspinatus muscle testing ... test. ... #Jobe #Test #Shoulder ... video #sports #msk
β–Ί
Empty Can (Jobe) Test for Supraspinatus Injury on Shoulder Exam

Supraspinatus muscle testing strength can also be
Injury on Shoulder ... Supraspinatus muscle testing ... test. ... #Jobe #Test #Shoulder ... video #sports #msk
β–Ί
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... Radioactive iodine scan ... Check pregnancy test ... #Hyperthyroidism
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND β€’ Baseline ... Differential #Diagnosis #Algorithm
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome Testing ... Algorithm INDICATIONS ... FOR TESTING: β€’ ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm