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diagnosis adrenal insufficiency differential interpretation stimulation acromegaly adrenalmass benign enzymes evaluation hepatology hyperthyroidism laboratory liver pfts pulmonary test tfts tsh
Pulmonary Function Tests (PFTs) - Interpretation Algorithm • Normal • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia • Chest
Function Tests (PFTs ... Interpretation Algorithm ... • Normal • ... #Pulmonary #FunctionTests ... #Algorithm #diagnosis
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... insufficiency • Low or normal ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... this indicates normal ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... - Check ACTH ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Differential Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... Non-Functioning Mass • Normal ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Insufficiency Diagnosis Algorithm ... Beware of major normal ... pregnancy) Test 2: ACTH ... Insufficiency #Diagnosis #Algorithm ... #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH ... test - Synthetic ACTH ... aldosterone - Often normal ... laboratory #diagnosis #testing ... #endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
• Low TSH, Low normal ... • Low TSH, normal ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology ... #TFTs #TSH #Interpretation
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... decision for repeat testing ... #LFTs #Abnormal ... #Algorithm #Hepatology
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... Algorithm INDICATIONS ... acral features, abnormal ... #Algorithm #diagnosis ... #endocrinology
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