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diagnosis endocrinology acromegaly acth adrenal afib cardiology differential enzymes evaluation fibrillation hepatology insufficiency lfts liver perioperative pheochromocytoma preop preoperative risk
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
then go to stim testing ... Standard Stim test ... this indicates normal ... adrenal function ... #ACTH #Stimulation
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... decision for repeat testing ... #LFTs #Abnormal ... #Algorithm #Hepatology
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Algorithm INDICATIONS ... enlarged facial or acral ... features, abnormal ... other pituitary functions ... #Algorithm #diagnosis
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
early Afib and pts ... Fibrillation - Testing ... , the size and function ... serum creatinine, test ... AFib #diagnosis #management
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
and Signs: 50% pts ... • Classic triad ... hypertension; some normal ... resistance, impaired fasting ... alpha-adrenoceptor stimulation
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Assess functional ... Functional status ... event, follow ACC algorithm ... determine if stress test ... medical and surgical management
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