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diagnosis differential endocrinology adrenal insufficiency causes hematology management stimulation evaluation fever obgyn testing acth clinical cosyntropin criticalcare diarrhea disease hypertension
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Syndrome Testing Algorithm ... dexamethasone suppression test ... Urine Free by LC-MS ... /MS) • Adrenocorticotropic ... Syndrome #diagnosis #algorithm
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
Unknown Origin (FUO ... ) - Further Workup ... Returning Traveler’ algorithm ... Test for the respective ... udaygulati #FUO
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Insufficiency Algorithm ... Cosyntropin Stimulation Test ... T-1m: Baseline cortisol ... IV T30m: Repeat cortisol ... Insufficiency #Testing #Algorithm
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... not stimulate cortisol ... ACTH • Serum cortisol ... - Serum tests that ... endocrinology #workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... ACTH Early am cortisol ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... ) Confirmation Test ... This test determines ... Insufficiency #Algorithm
Chronic Shoulder Pain - Differential Diagnosis Algorithm 4 tests for the AC joint: 1. Direct palpation 2. Cross-arm shoulder
Differential Diagnosis Algorithm ... 4 tests for the ... after cross-arm test ... Differential #Diagnosis #Algorithm ... #MSK
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Insufficiency Diagnosis Algorithm ... : - AM serum cortisol ... unlikely - If serum cortisol ... cosyntropin stimulation test ... interact with stim test
Evaluating a Patient with Presumed Cushing Syndrome #Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
Syndrome #Disease #Algorithm ... #Workup #Dexamethasone ... #Suppression #Test
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Insufficiency Diagnosis Algorithm ... Test 1: Baseline ... AM Cortisol - ... OCPs, pregnancy) Test ... Insufficiency #Diagnosis #Algorithm
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