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diagnosis adrenal insufficiency acth differential workup abnormal acromegaly cosyntropin cushing enzymes hepatology hypoglycemia laboratory lfts liver syndrome
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Insufficiency Algorithm ... Test T-1m: Baseline ... level drawn BCM IM ... Insufficiency #Testing ... #Stimulation #endocrinology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm ... #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 ... #ACTH #Stimulation ... #Test #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Test 1: Baseline ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... response BCM IM ... #endocrinology
Hypoglycemia - Evaluation Algorithm Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Hypoglycemia - Evaluation ... Algorithm Interpreting ... at the time of testing ... → IGF-2 - Malignancy ... #diagnosis #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... Insufficiency #Evaluation ... laboratory #diagnosis #testing ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Insufficiency #Algorithm ... #Endocrinology
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... Algorithm INDICATIONS ... gland and consider evaluation ... #Algorithm #diagnosis ... #endocrinology
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
algorithm. ... indicate the initial evaluation ... history alongside evaluation ... decision for repeat testing ... obstruction due to malignancy
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