7 results
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
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
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... chronic lack of stimulation ... laboratory #diagnosis #testing ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
, hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
then go to stim testing ... Standard Stim test ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Step 1) Screening Test ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Diagnosis #ACTH #Stimulation ... #Endocrinology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Acromegaly - Diagnosis ... : • Classic Acromegaly ... glucose suppression test ... • Pituitary testing ... Diagnosis #Management #Endocrinology