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diagnosis differential adrenal insufficiency management dermatology acth airway criticalcare generalized intubation procedure pruritus stimulation systemic ai amenorrhea beforect bigtrauma cushings
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... normal adrenal function ... #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... Tests in the Evaluation ... high T4 +/- T3 → Primary ... T3 → Central (secondary ... Hyperthyroidism #algorithm
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Causes == Primary ... Mellitus Liver Function ... Tests/Enzymes: ... #secondary #systemic ... #causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... ACTH) stimulation test ... baseline ACTH - Primary ... baseline ACTH - Secondary ... #endocrinology
Hyperuricemia - Differential Diagnosis Algorithm Primary - Over-production • Increased turnover of nucleotides Primary
Differential Diagnosis Algorithm ... Primary - Over-production ... of nucleotides Primary ... #endocrinology ... #causes
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... age 14 without secondary ... Hypothalamic: • Functional ... #Causes #OBGyn
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Differential Diagnosis Algorithm ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Differentiate primary ... vs secondary AI ... consistent with primary ... #Stimulation #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... aldosterone - Low in cases ... autoimmune-mediated primary ... Secondary Adrenal ... diagnosis #testing #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Management Summary Primary ... Causes of Secondary ... A STIM test can ... ACTH STIM TEST: ... #Management #Endocrinology
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