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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adrenal endocrinology diagnosis insufficiency acth calcaneofibular cfl clinical communication cosyntropin criticalcare cushing differential discharge disposition evaluation examination hyperfunction hypotension icu
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
ICU Hypotension - Evaluation Algorithm OFTEN Mnemonic: OWN THE PULSE PRESSURE FEEL YOUR PATIENT'S LEGS TEST FOR FLUID
Hypotension - Evaluation Algorithm ... PATIENT'S LEGS TEST ... RESPONSIVENESS ECHO/POCUS ... Hypotension #Evaluation #Algorithm ... OFTEN #Mnemonic #Checklist
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Insufficiency #Algorithm ... Diagnosis #ACTH #Stimulation
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
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 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
Calcaneofibular Ligament (CFL) Tilt Test Stress Testing The Ultrasound Site - MSK ultrasound education @mskultrasound #Calcaneofibular #Ligament #CFL
Ligament (CFL) Tilt Test ... Stress Testing ... Ultrasound Site - MSK ... clinical #ultrasound #msk ... #pocus
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 Urine Microscopy - Urinary Sediment Examination Instructions Preparation of the urine for microscopic examination: • Clean catch
Perform dipstick testing ... conical bottom test ... and condenser focus ... least contrast (best ... Instructions #steps #checklist
Uncertainty Communication Checklist for Patient Discharge Introduction 1. Explain to the patient that they are being discharged 2. Ask
Communication Checklist ... and/or by phone Test ... questions about testing ... Discuss next tests ... Communication #Checklist
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