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diagnosis acromegaly acth adrenal arthritis disease evaluation insufficiency perioperative preop preoperative rheumatic rheumatoid rheumatology risk stimulation stratification workup
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
linear growth Tests ... Glucose Tolerance Test ... Growth Hormone (GH) test ... other pituitary functions ... #endocrinology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
antibody (ANA) test ... ; if positive, test ... Screening Tests ... including liver function ... tests (LFTs) and
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
then go to stim testing ... Standard Stim test ... normal adrenal function ... #Stimulation #Test ... #Endocrinology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Assess functional ... Functional status ... event, follow ACC algorithm ... determine if stress test ... medical and surgical management
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