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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Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Testing Algorithm ... INDICATIONS FOR TESTING ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Insufficiency Algorithm ... - Cosyntropin Stimulation ... Test T-1m: Baseline ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... cortisol level should ... Insufficiency #Algorithm
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 ... #ACTH #Stimulation ... #Test #Endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
and Screening Testing ... Renal ultrasound, Tests ... abdomen/pelvis • Cushing ... salivary cortisol • Hypothyroidism ... • 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 • Baseline ... Differential #Diagnosis #Algorithm
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... Palsy This tests ... ulnar nerve palsy, testing ... flexing the thumb (using ... #physicalexam #msk
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Empty Can (Jobe) Test on Shoulder Exam

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

Supraspinatus muscle testing strength can also be
Empty Can (Jobe) Test ... Supraspinatus muscle testing ... can also be done using ... the empty can test ... video #sports #msk
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Neer Test for Shoulder Impingement on Physical Examination

Standing on the testing side, one hand stabilize the
Neer Test for Shoulder ... Standing on the testing ... The test is positive ... physio_tests #Neer #Test ... clinical #video #MSK
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