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diagnosis endocrinology differential insufficiency stimulation acth adrenalmass cosyntropin abnormal acog amyloid amyloidosis benign causes covid19 cushing enzymes evaluation hepatology hypoglycemia
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Hormone • MRI of adrenal ... endocrinology #Adrenal ... #Hyperfunction
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 Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Clinical suspicion ... , hypoglycemia Testing ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... Insufficiency #Algorithm
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... Clinical features ... findings (see algorithm ... cosyntropin stimulation test ... interact with stim test
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
algorithm. ... evaluation of the clinical ... /or suspicious clinical ... decision for repeat testing ... LFTs #Abnormal #Algorithm
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Benign Adrenal Mass ... Differential Diagnosis Algorithm ... • Congenital Adrenal ... High Plasma E2 +Clinical ... Dexamethasone Suppression Test
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Malignant Adrenal ... Differential Diagnosis Algorithm ... High Plasma E2 + Clinical ... Dexamethasone Suppression Test ... Differential #Diagnosis #Algorithm
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Differential Diagnosis Algorithm ... Fasting Hypoglycemia ... Other Causes: • Critical ... Hypopituitarism • Adrenal ... Differential #Diagnosis #Algorithm
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