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adrenal diagnosis endocrinology insufficiency differential evaluation laboratory test
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
OR secondary AI ... then go to stim testing ... or secondary AI ... AI - Low = secondary ... #ACTH #Stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... ) stimulation test ... - Primary adrenal ... - Secondary adrenal
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Differentiate primary ... vs secondary AI ... consistent with primary
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... aldosterone - Low in cases ... autoimmune-mediated primary ... laboratory #diagnosis #testing ... endocrinology #workup
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