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diagnosis adrenal insufficiency workup algorithm causes acth neurology secondary signs stimulation addisons ankle calcium cauda caudaequina clinical delayed disease disorders
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Incidentalomas: Hormone Evaluation ... Zona Glomerulosa: Primary ... dexamethasone test ... - Plasma or urinary ... Diagnosis #workup #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm - Evaluation ... diagnostic of primary ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... → Primary hyperapara ... → Primary hyperpara ... Hypercalcemia #workup #differential ... #diagnosis #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... ACTH) stimulation test ... baseline ACTH - Primary ... Insufficiency #Differential ... Diagnosis #Algorithm #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... ACTH stimulation test ... autoimmune-mediated primary ... Insufficiency #Evaluation ... diagnosis #testing #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Step 1) Screening Test ... Step 3) Differentiate ... primary vs secondary ... consistent with primary ... #Stimulation #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... in the Evaluation ... high T4 +/- T3 → Primary ... algorithm #diagnosis #endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Symptoms/physical exam ... clue • Blood tests ... ACTH stimulation test ... present - ACTH test ... addisons #disease #endocrinology
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup History: - Prior platelet count, family
Platelet Disorders - Differential ... K), H. pylori test ... thyroid function test ... - Bone marrow evaluation ... unclear, or if a primary
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Management Summary Primary ... Symptoms and Exam ... A STIM test can ... ACTH STIM TEST: ... Diagnosis #Management #Endocrinology
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