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diagnosis adrenal insufficiency stimulation clinical cushings differential evaluation eyelid gravis hypercortisolism laboratory myasthenia neurology ocular physicalexam signs symptoms syndrome testing
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... ) stimulation test ... insufficiency • Low ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
unclear (often the case ... then go to stim testing ... Standard Stim test ... primary AI - Low ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... require Cosyntropin testing ... - Low ACTH is ... #Stimulation #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low ... in cases in which ... - Low, because ... laboratory #diagnosis #testing ... #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Delayed wound healing ... , oral cavity) Caused ... levels following a low-dose ... dexamethasone suppression test ... signs #symptoms #endocrinology
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
suspected and anti-ACh ... and the ice pack test ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
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