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diagnosis endocrinology insufficiency clinical injury stimulation video acth evaluation knee physicalexam sports classification cosyntropin cushing differential dislocation hyperfunction instability laboratory
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Hormone • MRI of adrenal ... Syndrome #diagnosis #algorithm ... endocrinology #Adrenal
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... cortex is already ... autoantibody tests ... cortex is atrophied ... laboratory #diagnosis #testing
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... Insufficiency #Algorithm
Posteromedial Instability on Knee Exam This is what a knee with posteromedial instability looks like. Notice the
anterior drawer test ... foot in external rotation ... Posteromedial corner ... PhysicalExam #Injury #MSK
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 Yergason's Test on Physical Exam Yergason's test for biceps tendon pathology testing stability of the tendon within
Yergason's Test ... Exam Yergason's test ... tendon pathology testing ... Resist external rotation ... clinical #video #msk
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 Posterior Cruciate Ligament (PCL) Injury: Pathogenesis and Clinical Findings Classification of PCL Iniuries • Partial: Translation <
knee in neutral rotation ... knee in neutral rotation ... knee in internal rotation ... posterolateral corner ... #PCL #Injury #MSK
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC algorithm ... determine if stress test ... surgery Stress Testing ... preoperative stress testing
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