11 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 ... : • ACTH stimulation ... #Evaluation #laboratory ... #diagnosis #testing ... endocrinology #workup
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
Commonly Used Diagnostic Tests for Celiac Disease

Tissue transglutaminase (tTG) IgA antibodies
 - Most reliable noninvasive test
- High sensitivity ... Widely variable sensitivity ... Celiac #Disease #Testing ... #Laboratory #Tests ... #Diagnosis #Workup
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
• Additional laboratory ... Test for celiac ... Non-invasive testing ... endoscopy • Insufficient ... Gastrointestinal #Evaluation #workup
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
Diagnostic algorithm for the workup of hypercalcemia. The diagnostic workup for patients presenting with hypercalcemia rests
Diagnostic algorithm ... hypercalcemia rests ... value of 0.0115, sensitivity ... Thus, further testing ... #Differential #Algorithm
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... but lower sensitivity ... more time for the laboratory ... Rheumatoid #Arthritis #laboratory ... #workup #diagnosis
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