12 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... #Testing #Algorithm ... #Stimulation #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... Low, because the origin ... laboratory #diagnosis #testing ... #endocrinology ... #workup
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm ... #endocrinology
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
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... #Stimulation #Endocrinology
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Origin (FUO) - ... Further Workup ... Returning Traveler’ algorithm ... Test for the respective ... UnknownOrigin #workup
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
• Low-grade fever ... Palmar creases - Extensor ... clue • Blood tests ... ACTH stimulation test ... addisons #disease #endocrinology
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 ... #Origin #Workup
Diagnosing Brucellosis
Epidemiological Exposures
- Endemic Regions
- Clinical Micro Lab Technicians
- Animal/Vaccine Exposure: Vets, Slaughterhouse workers, hunters
- Unpasteurized
Constitutional: Fevers ... Weight loss - End Organ ... Genitourinary Diagnostic Tests ... Diagnosis #Criteria #Workup ... #Testing
Solid Organ Transplant - Diarrhea - Diagnostic and Workup Algorithm
1st Tier Microbiologic Testing: CDiff (stool), CMV
Solid Organ Transplant ... Diagnostic and Workup ... Algorithm 1st Tier ... stool), Breath test ... #Algorithm