2816 results
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Diagnosis and Management ... A baseline 8am cortisol ... Obtain baseline cortisol ... Measure cortisol ... Secondary #Diagnosis #Management
Pocket Comparison Guide to Heritable Hypertension Syndromes (Secondary Hypertension)

Bartter, Gitelman, Liddle, Primary Aldosteronism, 
GRA (Glucocorticoid Remediable
, Aldosterone, Cortisol ... Table #Diagnosis #Management
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Dislocation - ED Management ... deformity (35-40%, cortical ... glenoid) • ED Management ... XRay #Diagnosis #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... Aldosterone levels, Cortisol ... clear cause) Management ... diagnosis and management ... Hyperkalemia #Diagnosis #Management
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
T-1m: Baseline cortisol ... IV T30m: Repeat cortisol ... drawn T60m: Final cortisol
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
hypertension) Testing: • Cortisol ... Free Urine • Cortisol ... following morning: Cortisol ... , Serum (or Cortisol
Evaluation of Secondary Hypertension
 • Primary aldosteronism - PRA, PAC
 • Renal artery stenosis - Renal
Late-night salivary cortisol ... 24-h urine free cortisol
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
ACTH Early am cortisol ... Cosyntropin - Measure cortisol ... injection - If f/u cortisol
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Screening Test: 6-8AM Cortisol ... Early morning cortisol ... Then, check cortisol ... - Peak cortisol
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
glands with lack of cortisol ... RTA type IV) Cortisol ... • Myalgia Cortisol ... BP • ↓ Serum cortisol ... potassium, AM cortisol