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adrenal endocrinology insufficiency acth differential laboratory perioperative preop preoperative risk stratification workup
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
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
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
between 8 and 9 AM - Low ... aldosterone - Low ... Insufficiency #Evaluation ... #laboratory #diagnosis ... #testing #endocrinology
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
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... determine if stress test ... Orthopedic • Low ... stratification #diagnosis
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