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diagnosis adrenal insufficiency fuo workup acth cosyntropin testing unknown addisons differential disease echocardiogram evaluation idsa infectiousdiseases infectiveendocarditis laboratory primary signs
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Insufficiency Diagnosis Algorithm ... findings (see algorithm ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
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 ... #Cosyntropin #Stimulation ... #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... Low, because the origin ... chronic lack of stimulation ... diagnosis #testing #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Insufficiency Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... : Cosyntropin Stimulation ... Insufficiency #Algorithm ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #ACTH #Stimulation ... #Test #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... hormone (ACTH) stimulation ... test AND • Baseline ... Differential #Diagnosis #Algorithm ... #endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
• Low-grade fever ... Palmar creases - Extensor ... present - ACTH stimulation ... test: Administer ... addisons #disease #endocrinology
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
Fever of Unknown ... Origin (FUO) - ... Refer to your ‘Fever ... Returning Traveler’ algorithm ... Test for the respective
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... of Unknown Origin ... • Additional tests ... #Fever #Unknown
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