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Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Insufficiency Diagnosis Algorithm ... findings (see algorithm ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Insufficiency Algorithm ... - Cosyntropin Stimulation ... Test T-1m: Baseline ... #Cosyntropin #Stimulation ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Insufficiency Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... #endocrinology
Hyperglycemia - Differential Diagnosis Algorithm Diabetes Mellitus: • Impaired Glucose Tolerance • Type I Diabetes • Type
Differential Diagnosis Algorithm ... • Cushing's Syndrome ... • Acromegaly ... Differential #Diagnosis #Algorithm ... #endocrinology
Tall Stature - Differential Diagnosis Algorithm Normal Growth (BA=CA) • Familial Tall Stature • XYY Syndrome Obese BMI
Differential Diagnosis Algorithm ... Stature • XYY Syndrome ... Resistance • Acromegaly ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... hormone (ACTH) stimulation ... test AND • Baseline ... Differential #Diagnosis #Algorithm ... #endocrinology
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... Algorithm INDICATIONS ... ARUPConsult @ARUPLabs #Acromegaly ... #Testing #Algorithm ... #diagnosis #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... : Cosyntropin Stimulation ... Insufficiency #Algorithm ... Diagnosis #ACTH #Stimulation ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #ACTH #Stimulation ... #Test #Endocrinology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Cushing Syndrome ... Testing Algorithm ... dexamethasone suppression test ... #diagnosis #algorithm ... #endocrinology
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