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diagnosis adrenal insufficiency differential workup cardiology chf clinical cosyntropin criticalcare cushings foamed heartfailure hypercortisolism hyperthyroidism hypoglycemia icu interpretation laboratory management
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... ) stimulation test ... insufficiency • Low or normal ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Beware of major normal ... value - variation ... pregnancy) Test 2: ACTH ... Stimulation - ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Insufficiency Diagnosis Algorithm ... skin (due to high ACTH ... stimulating melanocytes ... around 6-8AM) – if value ... #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... - Evaluation of ... this indicates normal ... #ACTH #Stimulation ... #Test #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... stimulation test ... aldosterone - Often normal ... Insufficiency #Evaluation ... diagnosis #testing #endocrinology
Hypoglycemia - Evaluation Algorithm Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Hypoglycemia - Evaluation ... Algorithm Interpreting ... Hypoglycemia Labs ... #Algorithm #workup ... #diagnosis #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
areas that are not normally ... because melanocyte stimulating ... 8) Cataracts Labs ... stimulation 2 ... signs #symptoms #endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Function Tests in the Evaluation ... • Low TSH, Low normal ... Can repeat labs ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
include Crackles/Rales ... are excellent at evaluating ... is vital while lab ... Cardiac cath if ... #differential #algorithm
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