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Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
dexamethasone suppression test ... Hormone • MRI of adrenal ... #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction
Shoulder Exam - Provocative Testing Supraspinatus muscle injury: - Jobe’s Test - Hawkin’s Test - Drop Arm
Shoulder Exam - ... - Hawkin’s Test ... - Drop Arm Test ... #Diagnosis #PhysicalExam ... #Shoulder #Testing
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Adrenal Incidentalomas ... Fasciculata: Cushing Syndrome ... dexamethasone test ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm Exogenous (ACTH-independent) Endogenous • ACTH-dependent: - ACTH-secreting
Hypercortisolism (Cushing syndrome ... Simplified Differential Diagnosis ... hyperplasia - Adrenal ... #Differential #Diagnosis ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... eosinophilia Diagnostic ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... CT scan, adrenal ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... #Differential #Diagnosis
Hirsutism & Virilization - Differential Diagnosis Algorithm ADRENAL EXCESS Ovarian • Polycystic Ovarian Syndrome • Hyperthecosis • Tumor Adrenal
- Differential Diagnosis ... Algorithm ADRENAL ... • Congenital Adrenal ... #Differential #Diagnosis ... #Algorithm #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Step 1) Screening Test ... ) Confirmation Test ... cortisol level should ... #Stimulation #Endocrinology
Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination
elements of a shoulder ... (using Speed's test ... (In Speed's test ... is a positive test ... #Diagnosis #PhysicalExam
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... #Algorithm #endocrinology
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