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clinical echocardiogram pocus s4c diagnosis cardiac pericardial atrial effusion thrombus endocarditis management mitral valve ultrasound apical septal algorithm cardiomyopathy constrictive
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
specificity for AI ... > 15 excludes AI ... - Check ACTH ... have diagnosed AI ... primary vs secondary AI
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Axis Response to ACTH ... primary OR secondary AI ... Measure ACTH: ... High = primary AI ... Diagnosis #Algorithm #ACTH
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
insufficiency (AI ... secondary or tertiary AI ... ACTH, adrenocorticotropic ... Diagnosis #Endo #ACTH
Primary vs Secondary Adrenal Insufficiency - Pathophysiology Primary AI = adrenal glands themselves are the problem. This
Pathophysiology Primary AI ... be low, while ACTH ... Secondary AI = the ... Low ACTH leads to
Echocardiogram and POCUS Cardiology Windows and Anatomy • Parasternal Long Axis (PLAX) • Subcostal 4 Chamber
Echocardiogram and POCUS Cardiology ... Subcostal 4 Chamber (S4C ... Apical 4 Chamber (A4C ... Apical 2 Chamber (A2C ... Echocardiogram #POCUS #Cardiology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
In secondary AI ... is absent (low ACTH ... diagnostic of AI ... ACTH STIM TEST: ... baseline cortisol and ACTH
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Diagnosis Algorithm ACTH-Dependent ... Hypothalamic Dysfunction ACTH-Independent ... Insufficiency #AI
POCUS Echocardiography - Table of Cardiac Views and Windows • Parastemal Long-Axis View (PLAX) • Parasternal
-Chamber View (A4C ... -Chamber View (A5C ... -Chamber View (A2C ... -Chamber View (A3C ... Echocardiography #Cardiology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
AM cortisol and ACTH ... /dL -> Primary AI ... present - ACTH ... ug/dL Primary AI ... present - ACTH
Quincke's Pulse in Severe Aortic Regurgitation Little physical exam finding for the end of the week! Quinke’s
chronic severe AI ... associated with chronic AI ... Fingernails #Nailbed #Cardiology
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