11 results
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 ... before, 30 & 60 min after
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Hormone • MRI of adrenal ... Syndrome #diagnosis #algorithm ... endocrinology #Adrenal
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
minimally increased after ... cortisol are measured after ... Insufficiency #Evaluation ... laboratory #diagnosis #testing ... endocrinology #workup
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Ova and Parasite evaluation ... Breath test for ... #Diarrhea #Workup
Antenatal Visits - Testing and Schedule
At Every Visit:	
 • Gestational Age	
 • BP
 • Maternal Weight
Protein Blood Work ... Glucose Challenge Test ... Glucose Tolerance Test ... - BW 1 hour after ... Amy Chung, MD, MSc
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... min AND 60 min after ... Insufficiency #Algorithm
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Thyroid Function Tests ... in the Evaluation ... Hyperthyroidism: Work-up ... repeat labs 6 weeks after ... Hyperthyroidism #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... specific questions to ask ... event, follow ACC algorithm ... determine if stress test ... perioperative #Risk #Evaluation
Celiac Disease - Diagnosis Algorithm
IgA TTG has high sensitivity and specificity of ~ 98% and is
Disease - Diagnosis Algorithm ... serologic marker for evaluating ... pts need further testing ... -A negative test ... gastroenterology #workup
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
prolonged bed rest ... phlebotomy/ blood work ... during clinical evaluations ... deficiencies • Renal ... • Anemia of renal