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adrenal insufficiency differential management stimulation hyperthyroidism nephrology treatment 1 2 3 acromegaly adrenalmass benign causes clinical cosyntropin dermatology di dislocation
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... CRH stimulation test ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... ) Confirmation Test ... #Diagnosis #ACTH ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Algorithm - Evaluation ... Standard Stim test ... #Algorithm #ACTH ... #Stimulation #Test ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Insufficiency Diagnosis ... Algorithm Test ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... #Algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... Algorithm Clinical ... ) stimulation test ... #Differential #Diagnosis ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Algorithm Clinical ... skin (due to high ACTH ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Algorithm Radioactive ... Check pregnancy test ... workup choices ... #Algorithm #Workup ... #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
- Differential Diagnosis ... Algorithm Hyperplasia ... Dependent • ACTH ... Dexamethasone Suppression Test ... #Algorithm #Endocrinology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential Diagnosis ... Algorithm - Diabetes ... Insipidus Workup ... & desmopressin test ... #Sodium #nephrology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... Hyperthyroidism: Work-up ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
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