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diagnosis differential nephrology endocrinology hematology management adrenal cardiology hyponatremia insufficiency laboratory sodium workup causes criteria criticalcare falsepositives hypokalemia amenorrhea betadglucan
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... Low Cortisol Response ... insufficiency • Low ... Differential #Diagnosis #Algorithm
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... require Cosyntropin testing ... - Low ACTH is ... Insufficiency #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Axis Response to ACTH ... then go to stim testing ... primary AI - Low ... Insufficiency #Diagnosis #Algorithm
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
between 8 and 9 AM - Low ... aldosterone - Low ... between 8 and 9 AM - Low ... - Low, because ... laboratory #diagnosis #testing
What is Fecal Occult Blood Testing (FOBT) • Screening for colorectal cancer in average risk population
Fecal Occult Blood Testing ... evaluation • False ... cauliflower, ETOH • False ... to unnecessary testing ... , extended LOS
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Differential Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... High DHEAS • Low ... Differential #Diagnosis #Algorithm
Tuberculosis Testing LATENT TB • LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
Tuberculosis Testing ... QFT) • 5 y/o + low ... (TST) False-negative ... recommended because false-negative ... #Tuberculosis #Testing
Summary of Agents Potentially Contributing to False Positives on Urine Drug Screens (UDS) Marijuana Metabolites • dronabinol,
Contributing to False ... (High Rate of False ... not result in false ... hemp products are low ... DrugScreening #UDS #Testing
Syphilis Serologic Testing - Treponemal and Non-Treponemal Testing Algorithms Treponemal Testing: • Confirmatory or Screening - Detection
Syphilis Serologic Testing ... Non-Treponemal Testing ... Algorithms Treponemal ... Testing: • Confirmatory ... Definitive • Low
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Cushing Syndrome Testing ... Algorithm INDICATIONS ... FOR TESTING: • ... Cortisol, Saliva • Low ... Syndrome #diagnosis #algorithm
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