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diagnosis endocrinology insufficiency acth cosyntropin antibiotic cushing cutoffs differential endo evaluation hyperfunction ischemia mesenteric microbiology specificity stimtest stimulationtest susceptibility syndrome
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... (but low sensitivity ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Insufficiency #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation ... #Test #Endocrinology
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 ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... between 8 and 9 AM ... between 8 and 9 AM ... Insufficiency #Evaluation #laboratory ... #diagnosis #testing
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... findings (see algorithm ... ): - AM serum ... test: Steroids ... interact with stim test
Acute Mesenteric Ischemia - Performance of Laboratory Tests (Sensitivity, Specificity) - WBC, Lactate, D-dimer, Urine I-FABP #Mesenteric
Performance of Laboratory ... Tests (Sensitivity ... Mesenteric #Ischemia #AMI ... #Testing #Diagnosis ... #Laboratory #Sensitivity
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
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
Algorithm for the ... diagnosis of adrenal ... standard cosyntropin stimulation ... test (CST) may ... the first-line test
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... AM Cortisol - ... 2: ACTH Stimulation
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Then measure at 8 am ... Hormone • MRI of adrenal ... endocrinology #Adrenal
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