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Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
primary OR secondary AI ... unclear (often the case ... Standard Stim test ... High = primary AI ... #Stimulation #Test
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
: Most Common Cause ... Adrenalitis Other causes ... Causes of Secondary ... A STIM test can ... ACTH STIM TEST:
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... clue • Blood tests ... /dL -> Primary AI ... ug/dL Primary AI
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Step 1) Screening Test ... specificity for AI ... > 15 excludes AI ... ) Confirmation Test ... This test determines
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
insufficiency (AI ... cosyntropin stimulation test ... the first-line test ... secondary or tertiary AI
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 ... AorticRegurgitation #Diagnosis #PhysicalExam
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 Myasthenia Gravis Signs, Symptoms and Testing - Likelihood Ratios Does this patient have myasthenia gravis? JAMA. 2005 Apr 20;293(15):1906-14.
speaking - Sleep Test ... - Ice Test - ... Rest Test - Anticholinesterase ... Test - Quiver ... LikelihoodRatios #PhysicalExam
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause This video demonstrates: 1) Normal Head Impulse Test
Abnormal Head Impulse Test ... = Peripheral Cause ... Normal Head Impulse Test ... for a PERIPHERAL cause ... #HINTS #PhysicalExam
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 Knee Examination Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
meniscal integrity) tests ... #Sports #Knee #PhysicalExam ... McMurray #Drawer #Test
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew) In a patient with vertigo symptoms, this
Exam - Abnormal Test ... for a CENTRAL cause ... Vertical #Skew #Test ... #HINTS #PhysicalExam
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