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diagnosis endocrinology insufficiency stimulation acidosis adrenalmass benign causes classification elevation evaluation lactate lactic test typea typeb workup
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... , hypoglycemia Testing ... ) stimulation test ... insufficiency • Low or normal
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... for AI (but low sensitivity ... require Cosyntropin testing ... Step 3) Differentiate ... Insufficiency #Algorithm
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... stimulation test ... aldosterone - Often normal ... Insufficiency #Evaluation #laboratory ... #diagnosis #testing
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 ... this indicates normal ... #Test #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Benign Adrenal Mass ... - Differential ... Diagnosis Algorithm ... Dependent • ACTH ... Dexamethasone Suppression Test
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... - assess other laboratory ... or diagnostic tests ... ischemia (90% sensitivity ... lactate and can act
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