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diagnosis adrenal endocrinology stimulation differential acth cosyntropin nephrology sodium evaluation hypotonic laboratory lazy physiologic stimtest table workup
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypotension, hyponatremia ... , hypoglycemia Testing ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm
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 ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... hypoglycemia, Hyponatremia ... findings (see algorithm ... cosyntropin stimulation test ... interact with stim test
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... Hypothyroidism, Adrenal insufficiency ... Cerebral salt wasting ... #Algorithm #diagnosis
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... dysfunctional adrenal cortex ... primary adrenal insufficiency ... because the adrenal cortex ... laboratory #diagnosis #testing
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #Stimulation #Test
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... require Cosyntropin testing ... ) #Adrenal #Insufficiency ... #Algorithm #Diagnosis
A lazy man's classification of hyponatremia There are two possible approaches to the diagnosis of hyponatremia: .
classification of hyponatremia ... the diagnosis of hyponatremia ... essentially the same tests ... cerebral salt wasting ... #Algorithm #Differential
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... case of hypotonic hyponatremia ... normal volume-based algorithm ... Hypothyroidism, Adrenal Insufficiency ... Cerebral Salt Wasting
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