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diagnosis differential endocrinology adrenal insufficiency dermatology generalized pruritus stimulation systemic workup acromegaly amenorrhea evaluation gynecology hypertension laboratory management obgyn pathophysiology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... stimulation test ... stimulation test ... test - This test ... laboratory #diagnosis #testing
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #Test #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... ) stimulation test ... - Primary adrenal ... - Secondary adrenal
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... This test determines
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Renal ultrasound, Tests ... sodium loading test ... saline infusion test ... dexamethasone suppression test
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Causes == Primary ... Liver Function Tests ... failure/uremia TSH ... #secondary #systemic ... #causes
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Liver Function Tests ... failure/uremia TSH ... #Pruritus #secondary ... #causes
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Differential Diagnosis Algorithm ... by age 16 with secondary ... age 14 without secondary ... Etiology - High FSH
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
Mortality due to CVD ... Acromegaly occurs secondary ... glucose suppression test ... • Pituitary testing ... & ACTH) 2/2 adenoma
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