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Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... Diagnosis Algorithm Clinical ... PRIMARY adrenal insufficiency ... cosyntropin stimulation test ... interact with stim test
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... Secondary Adrenal Insufficiency ... secondary adrenal insufficiency ... secondary adrenal insufficiency
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Diagnosis Algorithm Clinical ... ACTH) stimulation test ... Response - Adrenal insufficiency ... Primary adrenal insufficiency
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Cosyntropin Stimulation Test ... BCM_InternalMed #Adrenal #Insufficiency
Chronic Arterial vs Chronic Venous Insufficiency.

#Venous #Arterial #Insufficiency #Comparison #Skin #PhysicalExam #LowerExtremity #Diagnosis

** GrepMed Recommended Text:
Chronic Venous Insufficiency ... Venous #Arterial #Insufficiency ... GrepMed Recommended Text
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm Test ... OCPs, pregnancy) Test ... BCM_InternalMed #Adrenal #Insufficiency
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
Indication → Pre-test ... Ratio Step 1: Clinical ... with a focused clinical ... Step 2: Pre-test ... probability based on clinical
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Standard Stim test ... AI #Adrenal #Insufficiency ... #Stimulation #Test
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal Insufficiency ... Causes of Adrenal Insufficiency ... clue • Blood tests ... ACTH stimulation test ... present - ACTH test
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... Step 1) Screening Test ... ) Confirmation Test ... This test determines ... ) #Adrenal #Insufficiency