7 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... #Testing #Algorithm ... #Cosyntropin #Stimulation
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
: • ACTH stimulation ... production • CRH stimulation ... : • ACTH stimulation ... #Evaluation #laboratory ... #diagnosis #testing
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... for AI (but low sensitivity ... require Cosyntropin testing ... #ACTH #Stimulation
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 ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation
Helicobacter Pylori Testing  Methods - Sensitivity and Specificity

Serology - 85% - 79% - Does not
Methods - Sensitivity ... Urea breath test ... BEST first line test ... #Laboratory #Diagnosis ... #Accuracy
Antibiotic Susceptibility Testing Methods
1) Kirby Bauer Disk Diffusion: disks impregnanted w/ Abx → circular gradient →
Susceptibility Testing ... Gradient diffusion (E test ... concentrations + algorithms ... #Antibiotic #Sensitivity ... #laboratory #microbiology