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diagnosis adrenal insufficiency acromegaly acth laboratory perioperative preop preoperative stimulation stratification workup
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Algorithm INDICATIONS ... acral features, abnormal ... gland and consider evaluation ... #Algorithm #diagnosis ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
- Evaluation of ... then go to stim testing ... Standard Stim test ... this indicates normal ... #Endocrinology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Evaluation Major ... Performance thorough ... event, follow ACC algorithm ... determine if stress test ... or LV dysfunction
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
secretion because the dysfunctional ... aldosterone - Often normal ... Insufficiency #Evaluation ... laboratory #diagnosis #testing ... #endocrinology
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