21 results
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
The standard cosyntropin ... Diagnosis #Endo #ACTH #Cosyntropin ... StimulationTest #Algorithm #Cutoffs
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
though some use a cutoff ... – 15), require Cosyntropin ... Confirmation Test: Cosyntropin ... Stimulation - Cosyntropin ... administering cosyntropin
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Insufficiency Algorithm - Cosyntropin ... drawn T0: 250 µg cosyntropin ... Testing #Algorithm #Cosyntropin
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
, proceed with cosyntropin ... Diagnosis #Algorithm #Cosyntropin
Prediabetes and Diabetes Diagnosis Criteria

There are a few methods to test if a patient has diabetes.
Aside from the cutoffs ... important to know the cutoffs
Tuberculin Skin Test Interpretation - Threshold for treatment
Induration cutoff >5mm:
 • Recent exposure to an individual
treatment Induration cutoff ... patients Induration cutoff ... users Induration cutoff
Abdominal Aortic Aneurysm (AAA) Management and Surveillance

- Screening should be considered for more than just men
Women have lower cutoffs
ST Elevation Myocardial Infarction (STEMI)

Criteria:
• New ST-segment elevation at the J point in 2 contiguous leads
leads with the cutoff ... leads V2-V3 the cutoff
Age adjusted D Dimer

Patients Age x 10 (85 year-old patients would have an age-adjusted 
cutoff of
age-adjusted cutoff
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Stimulation - Cutoffs