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diagnosis acth differential management primary signs addisons cosyntropin cushings disease hypercortisolism secondary sodium stimtest syndrome test treatment
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... (often the case ... #Adrenal #Insufficiency ... #ACTH #Stimulation ... #Test #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Adrenal Insufficiency ... Diagnosis Algorithm ... hypoglycemia, Hyponatremia ... findings (see algorithm ... #StimTest #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Weakness, fatigue, nausea ... , hypotension, hyponatremia ... hormone (ACTH) stimulation ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... #Insufficiency ... #ACTH #Stimulation ... #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... #Insufficiency ... #AI #Differential ... #Causes #endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
of Adrenal Insufficiency ... /dL -> Primary AI ... present - ACTH stimulation ... ug/dL Primary AI ... addisons #disease #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Adrenal Insufficiency ... ketoconazole, etomidate) Symptoms ... , hyponatremia may ... Adrenal Insufficiency ... Diagnosis #Management #Endocrinology
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... patient has severe symptoms ... SIADH — look for cause ... hourly • Identify Cause ... #Management #algorithm
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
, oral cavity) Caused ... is decreased), hypernatremia ... the abdomen for adrenal ... Diagnosis #signs #symptoms ... #endocrinology
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