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insufficiency algorithm symptoms acth addisons cah congenital cosyntropin cushings deficiency differential disease evaluation hypercortisolism hyperplasia laboratory stimtest syndrome testing workup
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... , only seen in PRIMARY ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... Serum DHEAS Diagnosis ... present - ACTH stimulation ... addisons #disease #endocrinology ... #diagnosis #signs
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... autoimmune-mediated primary ... ordered is the 21-hydroxylase ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Congenital Adrenal Hyperplasia - 21-Hydroxylase Deficiency - Signs and Symptoms • Brain: Androgenization effects, Glucocorticoid effects,
Hyperplasia - 21-Hydroxylase ... Deficiency - Signs ... bone density, Adult ... #Symptoms #diagnosis ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Standard Stim test ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... hormone (ACTH) stimulation ... test AND • Baseline ... baseline ACTH - Primary ... #Algorithm #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... : Cosyntropin Stimulation ... Differentiate primary ... #ACTH #Stimulation ... #Endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... not a feature of primary ... dexamethasone suppression test ... #signs #symptoms ... #endocrinology
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