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diagnosis adrenal endocrinology insufficiency acth bronchiectasis caudaequina causes enzymes equina evaluation hepatology lfts liver neurology pulmonary syndrome test workup
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... aldosterone - Often normal ... Insufficiency #Evaluation #laboratory ... #diagnosis #testing
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
constipation Differential ... • Provocative Tests ... absent anal wink test ... upon pinprick stimulation ... around the anus Laboratory
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... this indicates normal ... #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 ... Insufficiency #Algorithm
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... decision for repeat testing ... #Algorithm #Hepatology ... Liver #Enzymes #Differential
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
- BAR >1.0 is abnormal ... adults • Blood tests ... Bronchoscopy Laboratory ... Sweat chloride test ... Bronchiectasis #pulmonary #differential
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