16 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Cosyntropin Stimulation Test ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm ... #Stimulation #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... , hypoglycemia Testing ... ACTH) stimulation test ... Primary adrenal insufficiency ... Diagnosis #Algorithm #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... laboratory #diagnosis #testing ... #endocrinology ... #workup
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Test for celiac ... Non-invasive testing ... endoscopy • Insufficient ... change medical management ... Gastrointestinal #Evaluation #workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Check pregnancy test ... affects diagnostic workup ... choices AND management ... Diagnosis #Algorithm #Workup ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... Step 1) Screening Test ... require Cosyntropin testing ... ) #Adrenal #Insufficiency ... #Stimulation #Endocrinology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Breath test for ... #Diarrhea #Workup ... #Management #Algorithm
Antenatal Visits - Testing and Schedule
At Every Visit:	
 • Gestational Age	
 • BP
 • Maternal Weight
Antenatal Visits - Testing ... Protein Blood Work ... Stillbirth GDM Management ... Glucose Challenge Test ... Glucose Tolerance Test
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Diagnosis and Management ... A STIM test can ... ACTH STIM TEST: ... Secondary #Diagnosis #Management ... #Endocrinology