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adrenal insufficiency adrenalmass evaluation management syndrome abnormal acromegaly benign causes cosyntropin cushing cushings enzymes gravis hepatology hypercortisolism hyperfunction hypoglycemia laboratory
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Clinical suspicion ... ) stimulation test ... #Diagnosis #Algorithm ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Step 3) Differentiate ... #Diagnosis #ACTH ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Algorithm Clinical ... skin (due to high ACTH ... test: Steroids ... interact with stim test ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Algorithm - Evaluation ... then go to stim testing ... #Algorithm #ACTH ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... stimulation test ... stimulation test ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Insufficiency Diagnosis ... Algorithm Test ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... #Algorithm #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Diagnosis Algorithm ... High Plasma E2 +Clinical ... Dexamethasone Suppression Test ... #Diagnosis #Algorithm ... #Endocrinology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... dexamethasone suppression test ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... and Clinical Features ... dexamethasone suppression test ... Hypercortisolism #Diagnosis ... signs #symptoms #endocrinology
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Hypoglycemia - Differential ... Diagnosis Algorithm ... Other Causes: • Critical ... #Diagnosis #Algorithm ... #endocrinology
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