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diagnosis endocrinology insufficiency cancer colon colorectal comparison evaluation gastroenterology management screening stimulation differential indications laboratory perioperative preop preoperative risk stratification
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
production • CRH ... test - This test ... deficiency of CRH ... disorder, the CRH ... laboratory #diagnosis #testing
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ) stimulation test ... High baseline ACTH ... Differential #Diagnosis #Algorithm
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 - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based tests: • FIT: 79% sensitivity, 94% specificity for CRC
Performance Characteristics ... Cancer Screening Tests ... Stool/blood-based tests ... #comparison #table ... #Testing
ACA Colorectal Cancer Screening Guidelines When to Screen? When to Stop? Family History Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based
Family History Performance ... Cancer Screening Tests ... Stool/blood-based tests ... #comparison #table ... #Testing #Indications
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 ... surgery Stress Testing ... preoperative stress testing
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