4 results
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Testing Algorithm ... Cortisol, Saliva • Low ... dexamethasone suppression test ... #Syndrome #diagnosis ... #algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... plasma ACTH Low
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 ... : Cosyntropin Stimulation ... - Low ACTH is
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Algorithm - Evaluation ... then go to stim testing ... Standard Stim test ... primary AI - Low ... #Stimulation #Test