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differential causes management workup nephrology ddxof hematology evaluation peds em endocrinology cardiology pulmonary neurology pediatrics dermatology im gastroenterology obgyn hepatology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Syndrome Testing Algorithm ... Free Urine • Cortisol ... , Serum (or Cortisol ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Insufficiency Algorithm ... T-1m: Baseline cortisol ... IV T30m: Repeat cortisol ... drawn T60m: Final cortisol ... Insufficiency #Testing #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis ... Algorithm - Evaluation ... ACTH Early am cortisol ... 3 is virtually diagnostic ... #Algorithm #ACTH
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... lower, you have diagnosed ... Insufficiency #Algorithm ... #Diagnosis #ACTH
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Insufficiency Diagnosis ... Algorithm Clinical ... findings (see algorithm ... : - AM serum cortisol ... unlikely - If serum cortisol
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Consider: SIADH, Cortisol ... #hyponatremia #diagnosis ... #differential #algorithm
Evaluation of Secondary Hypertension • Primary aldosteronism - PRA, PAC • Renal artery stenosis - Renal
Late-night salivary cortisol ... 24-h urine free cortisol ... Evaluation #workup #diagnosis
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Insufficiency Diagnosis ... Algorithm Test ... 1: Baseline AM Cortisol ... Insufficiency #Diagnosis ... #Algorithm #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Insufficiency - Diagnosis ... <3 is diagnostic ... Measure cortisol ... less than 18 is diagnostic ... Primary #Secondary #Diagnosis
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... Algorithm Clinical ... plasma ACTH Low Cortisol ... #Differential #Diagnosis ... #Algorithm #endocrinology
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