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diagnosis differential endocrinology neurology stimulation acth classification criticalcare evaluation overview pediatrics rheumatology shock blood cosyntropin encephalopathy epilepticus failuretothrive ftt gastroenterology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... #Insufficiency ... #Testing #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: ... aldosterone - Low in cases ... insufficiency. ... Insufficiency: ... laboratory #diagnosis #testing
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... require Cosyntropin testing ... #Insufficiency ... #Algorithm #Diagnosis
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Differential Diagnosis Algorithm ... Idiopathic Other Causes ... Hypopituitarism • Adrenal ... Insufficiency ... endocrinology #causes
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Adrenal Insufficiency ... Diagnosis and Management ... Adrenal Insufficiency ... A STIM test can ... ACTH STIM TEST:
Causes of Failure to Thrive - Differential Diagnosis Algorithm Adequate Calorie Consumption - Increased Losses:
Causes of Failure ... Differential Diagnosis Algorithm ... • Pancreatic Insufficiency ... Differential #Diagnosis #Algorithm ... #Causes #Peds #
Hydroxychloroquine Serum Measurement in SLE • Terminal elimination half-life = 40 days ([HCQI reflects long-term intake)
if < 200ng/mL Best ... Insufficient blood ... • Special cases ... (e.g. renal failure ... levels #lupus #management
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Hypothyroidism, Adrenal ... Insufficiency, ... Cerebral Salt Wasting
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