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diagnosis adrenal insufficiency clinical differential stimulation video acromegaly cushing dislocation evaluation eyelid gravis hematology hyperfunction injury knee laboratory management myasthenia
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... ) stimulation test ... AND • Baseline ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #Test #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... aldosterone - Low in cases ... laboratory #diagnosis #testing ... #endocrinology ... #workup
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... cortisol 30 min AND ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... between 11 pm and ... Syndrome #diagnosis #algorithm ... #endocrinology
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
anti-ACh antibodies ... In-office testing ... the ice pack test ... dismay the blood work ... always ask your
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 Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
Workup: • Serum ... glucose suppression test ... • Pituitary testing ... TFT, LH, FSH & ACTH ... Diagnosis #Management #Endocrinology
Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... an underlying cause ... about secondary causes ... Best to have an ... #workup #hematology
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
workup. ... nerve injury (25%) TEST ... ligament/meniscus testing ... WORK UP: obtain ... Posterior #Injury #msk
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