2196 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Insufficiency Algorithm ... T-1m: Baseline cortisol ... IV T30m: Repeat cortisol ... drawn T60m: Final cortisol ... Insufficiency #Testing #Algorithm
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... Free Urine • Cortisol ... following morning: Cortisol ... , Serum (or Cortisol ... Syndrome #diagnosis #algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... ACTH Early am cortisol ... Cosyntropin - Measure cortisol ... injection - If f/u cortisol ... Insufficiency #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... findings (see algorithm ... : - AM serum cortisol ... unlikely - If serum cortisol ... Insufficiency #Diagnosis #Algorithm
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Screening Test: 6-8AM Cortisol ... Early morning cortisol ... - Peak cortisol ... Insufficiency #Algorithm
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Consider: SIADH, Cortisol ... #differential #algorithm
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Insufficiency Diagnosis Algorithm ... 1: Baseline AM Cortisol ... Insufficiency #Diagnosis #Algorithm
Causes of Hemiplegia - Differential Diagnosis Algorithm
Cerebral Hemisphere (Contralateral motor cortex)
 • Aphasia
 • Apraxia
 •
Differential Diagnosis Algorithm ... Contralateral/Sub-Cortical ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... plasma ACTH Low Cortisol ... Differential #Diagnosis #Algorithm
Causes of Dementia / Cognitive Impairment - Differential Diagnosis Algorithm

Affecting Multiple Domains
 • Depression
 • Delirium
Decline
Differential Diagnosis Algorithm ... Paraneoplastic disorder Cortical ... Differential #Diagnosis #Algorithm