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Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... findings (see algorithm ... ): - AM serum ... cosyntropin stimulation test ... interact with stim test
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... Cutoffs are the same
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... Tuberculosis: can cause ... clue • Blood tests ... sodium, potassium, AM
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
ultrasound, Tests ... sodium loading test ... h of infusion Adrenal ... CT scan, adrenal ... • Congenital adrenal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... ACTH Early am ... unclear (often the case ... Standard Stim test ... #Stimulation #Test
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... between 8 and 9 AM ... aldosterone - Low in cases ... autoantibody tests ... between 8 and 9 AM
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... : 6-8AM Cortisol ... ) Confirmation Test ... Insufficiency #Algorithm
Accuracy of Diagnostic Tests for Causes of Secondary Hypertension - Am Fam Physician. 2010 Dec 15;82(12):1471-1478. #Diagnosis
of Diagnostic Tests ... for Causes of Secondary ... Hypertension - Am ... Fam Physician. ... SecondaryHypertension #Tests
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 Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Syndrome Testing Algorithm ... dexamethasone suppression test ... Then measure at 8 am ... Hormone • MRI of adrenal ... endocrinology #Adrenal
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