13 results
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 ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... , only seen in PRIMARY ... findings (see algorithm ... test: Steroids ... interact with stim test
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Insufficiency #Algorithm ... Diagnosis #ACTH #Stimulation
Water Deprivation Test - Differential Diagnosis of Diabetes Insipidus (DI)
Concept of WDT: endogenous vasopressin secretion is
Water Deprivation Test ... measured upon osmotic stimulation ... indirectly as urinary ... #Deprivation #Test ... Differential #Diagnosis #algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... baseline ACTH - Primary
ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
Hypotension - Evaluation Algorithm ... PATIENT'S LEGS TEST ... RESPONSIVENESS ECHO/POCUS ... Hypotension #Evaluation #Algorithm ... OFTEN #Mnemonic #Checklist
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... Insufficiency: • ACTH stimulation ... production • CRH stimulation ... autoimmune-mediated primary ... laboratory #diagnosis #testing
Urine Microscopy - Urinary Sediment Examination Instructions
Preparation of the urine for microscopic examination:
 • Clean catch
Urine Microscopy - Urinary ... Perform dipstick testing ... and condenser focus ... Urine #Microscopy #Urinary ... Instructions #steps #checklist
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinis", determined heating ... Clarity Dipstick test ... specific gravity test ... • Urinary casts ... leucocyte-esterase #urine #UNa #casts