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diagnosis adrenal acth cirrhosis cushing hepatology insufficiency management nutrition pathophysiology perioperative preop preoperative risk stimulation stratification syndrome
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... Cortisol, Saliva • Low ... dexamethasone suppression test ... #endocrinology ... #Adrenal #Hyperfunction
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 ... primary AI - Low ... #Endocrinology
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
Prioritizing Tool • Low ... Assessment: • Evaluation ... function (Handgrip test ... Global physical performance ... protein diets to
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... Performance thorough ... event, follow ACC algorithm ... determine if stress test ... Orthopedic • Low
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