13 results
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
dexamethasone suppression test ... between 11 pm and ... Hormone • MRI of adrenal ... diagnosis #algorithm #endocrinology ... #Adrenal #Hyperfunction
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... both cortisol and ... laboratory #diagnosis #testing ... #endocrinology ... #workup
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... , hypoglycemia Testing ... ACTH) stimulation test ... AND • Baseline ... Diagnosis #Algorithm #endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... dexamethasone test ... evaluation • Adrenal ... Evaluation #Diagnosis #workup ... #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Screening Testing ... of hypokalemia and ... h of infusion Adrenal ... CT scan, adrenal ... Causes #Screening #Workup
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Test for celiac ... Recommended in men and ... Non-invasive testing ... Gastrointestinal #Evaluation #workup ... #diagnosis #gastroenterology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... cortisol 30 min AND ... #Stimulation #Endocrinology
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Workup Summary ... strategy with minimal testing ... cultures, but test ... Balloon Expulsion Test ... #gastroenterology
Antenatal Visits - Testing and Schedule
At Every Visit:	
 • Gestational Age	
 • BP
 • Maternal Weight
Antenatal Visits - Testing ... Protein Blood Work ... Glucose Challenge Test ... Glucose Tolerance Test ... Amy Chung, MD, MSc
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
In-office testing ... the ice pack test ... dismay the blood work ... include a Tensilon test ... always ask your