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diagnosis endocrinology insufficiency acth stimulation workup acidosis antibiotic causes celiac differential disease elevation gastroenterology lactate lactic microbiology susceptibility typea typeb
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... autoantibody tests ... Insufficiency #Evaluation ... #laboratory #diagnosis ... #testing #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... - Evaluation of ... then go to stim testing ... Standard Stim test ... #Stimulation #Test
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Step 1) Screening Test ... for AI (but low sensitivity ... require Cosyntropin testing ... ) Confirmation Test ... This test determines
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
Celiac Disease - Diagnosis Algorithm IgA TTG has high sensitivity and specificity of ~ 98% and is
IgA TTG has high sensitivity ... serologic marker for evaluating ... pts need further testing ... -A negative test ... -A positive test
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... - assess other laboratory ... or diagnostic tests ... ischemia (90% sensitivity ... #typea #typeb #classification
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