35 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 ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... due to high ACTH stimulating ... findings (see algorithm ... with cosyntropin stimulation ... #Cosyntropin #Stimulation
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
Fecal Occult Blood Testing ... to unnecessary testing ... #OccultBlood #Testing ... #FOBT #Guaiac #FalsePositives ... #FalseNegatives
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... Insufficiency #Diagnosis #Algorithm ... #ACTH #Stimulation
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Test: Cosyntropin Stimulation ... Insufficiency #Algorithm ... Diagnosis #ACTH #Stimulation
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... Hormone • MRI of adrenal ... Syndrome #diagnosis #algorithm ... endocrinology #Adrenal
Causes of Inaccurate Fecal Occult Blood Test Results 

False Positive gFOBT:
Ingestion of nonhuman heme (eg, meat
#OccultBlood #Testing ... #Laboratory #FalsePositive ... #FalseNegative
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... chronic lack of stimulation ... by ACTH • CRH stimulation ... laboratory #diagnosis #testing
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
Algorithm for the ... diagnosis of adrenal ... standard cosyntropin stimulation ... evaluation of adrenal ... StimulationTest #Algorithm