17 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ) stimulation test ... High baseline ACTH ... Differential #Diagnosis #Algorithm
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... test - Synthetic ... CRH stimulation test ... adrenal insufficiency ... laboratory #diagnosis #testing
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #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 ... #Algorithm #Diagnosis
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 ... stimulation test ... test is affected
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
Algorithm for the ... diagnosis of adrenal insufficiency ... cosyntropin stimulation test ... the first-line test ... Diagnosis #Endo #ACTH
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... 2: ACTH Stimulation
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... skin (due to high ACTH ... findings (see algorithm ... cosyntropin stimulation test ... interact with stim test
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 ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Definition: Diffuse ... Cough, Dyspnea, Fever ... Disease-specific testing ... anti-CCP • CXR (diffuse ... , biopsy By Tess