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diagnosis algorithm adrenal insufficiency stimulation workup adrenalmass benign causes evaluation hypertension laboratory management pathophysiology screening secondary table treatment
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... , hypoglycemia Testing ... ) stimulation test ... Insufficiency #Differential ... Diagnosis #Algorithm #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... Step 3) Differentiate ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Axis Response to ACTH ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... - Serum tests that ... stimulation test ... laboratory #diagnosis #testing ... #endocrinology
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... INDICATIONS FOR TESTING ... linear growth Tests ... ARUPConsult @ARUPLabs #Acromegaly ... #diagnosis #endocrinology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
Differential Diagnosis ... glucose suppression test ... • Pituitary testing ... TFT, LH, FSH & ACTH ... Diagnosis #Management #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Adrenal Mass - Differential ... Hyperplasia • ACTH ... Dependent • ACTH ... Dexamethasone Suppression Test ... Diagnosis #Algorithm #Endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... Renal ultrasound, Tests ... aldosteronism • Acromegaly ... #Hypertension #Differential
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