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diagnosis adrenal differential acth causes cosyntropin adult ai cushing deficiency evaluation growth highcalcium hormone hypercalcemia hypoglycemia laboratory lowglucose stimtest syndrome
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... #Testing #Algorithm ... #endocrinology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... suppression test (DST) protocol ... Syndrome #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... due to high ACTH stimulating ... findings (see algorithm ... #Diagnosis #Algorithm ... #StimTest #Endocrinology
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 ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... #ACTH #Stimulation ... #Test #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm ... ) Test 2: ACTH Stimulation ... #Diagnosis #Algorithm ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... require Cosyntropin testing ... #ACTH #Stimulation ... #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Disseminated Fungal, HIV/AIDS ... SCVMCMed #Adrenal #Insufficiency ... #Causes #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
: • ACTH stimulation ... production • CRH stimulation ... : • ACTH stimulation ... laboratory #diagnosis #testing ... #endocrinology
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Differential Diagnosis Algorithm ... Fasting Hypoglycemia ... Hypopituitarism • Adrenal Insufficiency ... Differential #Diagnosis #Algorithm ... #endocrinology
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