7 results
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
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
- Evaluation of ... then go to stim testing ... this indicates normal ... #ACTH #Stimulation ... #Test #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Test 1: Baseline ... Beware of major normal ... 2: ACTH Stimulation ... response BCM IM ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
, hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... insufficiency • Low or normal ... #endocrinology
Acromegaly Testing Algorithm
INDICATIONS FOR TESTING:
 • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Algorithm INDICATIONS ... acral features, abnormal ... gland and consider evaluation ... #Algorithm #diagnosis ... #endocrinology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
tests algorithm ... indicate the initial evaluation ... decision for repeat testing ... obstruction due to malignancy ... #Algorithm #Hepatology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... aldosterone - Often normal ... Insufficiency #Evaluation ... laboratory #diagnosis #testing ... #endocrinology