21 results
insufficiency algorithm differential causes management acth cosyntropin disease evaluation laboratory pathophysiology signs symptoms syndrome treatment acromegaly addisons amyloid amyloidosis anemia
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... test - Synthetic ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Adrenal Insufficiency ... - Cosyntropin Stimulation ... Test T-1m: Baseline ... Insufficiency #Testing ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... eosinophilia Diagnostic ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Step 1) Screening Test ... excludes AI in almost all ... require Cosyntropin testing ... #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Test 1: Baseline ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... #Algorithm #endocrinology
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Adrenal Incidentalomas ... dexamethasone test ... for all • Zona ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... ultrasound, Tests ... #Differential #Diagnosis ... Causes #Screening #Workup
Disseminated Gonococcal Infection - Diagnosis and Management Summary Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... typically part of the workup ... • Test all patients ... Distal joints, knees ... , wrists, ankles
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