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algorithm insufficiency acth comparison differential management stimulation workup causes challenges criticalcare cushing evaluation fluid hyperfunction hypertension laboratory labyrinthitis neuritis neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Positional Vertigo (BPPV ... consistent with BPPV ... ) • Epley maneuver ... maneuver: Ineffective ... Labyrinthitis #diagnosis
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
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
dexamethasone suppression test ... Hormone • MRI of adrenal ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... , hypoglycemia Testing ... ACTH) stimulation test ... #Differential #Diagnosis ... #Algorithm #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... CT scan, adrenal ... aldosteronism • Acromegaly ... #Differential #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... #Stimulation #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... autoantibody tests ... - Serum tests that ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
Acromegaly - Diagnosis ... Differential Diagnosis ... glucose suppression test ... • Pituitary testing ... #Endocrinology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
Fluid Tolerance Testing ... lower risk of renal ... after a challenge maneuver ... expiratorv hold maneuver ... #diagnosis #criticalcare
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