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management causes insufficiency criticalcare shock stimulation syndrome acromegaly acth adrenalmass classification neurology overview radiology abnormal amyloid amyloidosis benign chondroma cosyntropin
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Hormone • MRI ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... , hypoglycemia Testing ... #Diagnosis #Algorithm ... #endocrinology
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 ... #Algorithm #ACTH ... #Endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... Diagnosis and Screening ... Testing Common ... CT or MRI scan of ... #Diagnosis #Causes
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... require Cosyntropin testing ... Step 3) Differentiate ... #Stimulation #Endocrinology
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Hypoglycemia - Differential ... Diagnosis Algorithm ... Hypopituitarism • Adrenal ... #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... Clinical features ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Diagnosis Algorithm ... on TI Weighted MRI ... High Plasma E2 + Clinical ... #Diagnosis #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
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... Algorithm INDICATIONS ... hours post GTT) • MRI ... #Algorithm #diagnosis ... #endocrinology
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