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adrenal algorithm insufficiency a1c acth cosyntropin differential hypertension laboratory physicalexam prediabetes signs symptoms syndrome workup addisons adult aliem bppv cardiology
Knee Examination Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
- Examination maneuvers ... Lateral pivot shift, Apley ... meniscal integrity) tests ... #Diagnosis #Sports ... McMurray #Drawer #Test
Testing for Diabetes Type II - Hemoglobin A1c test - Random blood sugar test - Fasting
Testing for Diabetes ... - Fasting blood ... Classification #Testing ... Glucose #Laboratory #Endocrinology ... #Diagnosis
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
- Cosyntropin Stimulation ... Test T-1m: Baseline ... Insufficiency #Testing ... #Cosyntropin #Stimulation ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Insufficiency Diagnosis ... eosinophilia Diagnostic ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
Shoulder Exam - Provocative Testing Supraspinatus muscle injury: - Jobe’s Test - Hawkin’s Test - Drop Arm
- Provocative Testing ... - Hawkin’s Test ... #Diagnosis #PhysicalExam ... #Shoulder #Testing ... #Maneuvers #RotatorCuff
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
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... #Algorithm #endocrinology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
) • Hallpike test ... ) • Epley maneuver ... saccade seen) • Epley ... maneuver: Ineffective ... Labyrinthitis #diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis ... then go to stim testing ... Standard Stim test ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... chronic lack of stimulation ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
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