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diagnosis adrenal endocrinology insufficiency acth amenorrhea gynecology hypertension obgyn primary screening test workup
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... baseline ACTH - Secondary
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Step 3) Differentiate ... primary vs secondary
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... and Screening Testing ... Acromegaly #Secondary ... Screening #Workup #table
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Amenorrhea - Differential ... Diagnosis Algorithm ... by age 16 with secondary ... age 14 without secondary ... • Vanishing Testes
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