6 results
diagnosis endocrinology differential insufficiency causes cosyntropin cushing evaluation lowglucose management perioperative preop preoperative risk sepsis septic septicshock shock stimtest stimulation
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 Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Clinical suspicion ... hyperpigmentation, hypoglycemia ... Testing: • Adrenocorticotropic ... ACTH) stimulation test
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... Clinical features ... - Unexplained hypoglycemia ... cosyntropin stimulation test ... interact with stim test
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Diagnosis Algorithm ... Fasting Hypoglycemia ... Other Causes: • Critical ... Hypopituitarism • Adrenal ... Differential #Diagnosis #Algorithm
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Performance thorough ... event, follow ACC algorithm ... determine if stress test ... Change in clinical ... surgery Stress Testing
SEPSIS AND SEPTIC SHOCK DEFINITION AND PATHOPHYSIOLOGY • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
monocyte dysfunction/hypofunction ... CLINICAL RECOGNITION ... increased Cr, hyperglycemia ... CLINICAL FEATURES ... and molecular tests
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