11 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 ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... , hypoglycemia Testing ... ACTH) stimulation test ... AND • Baseline ... #Algorithm #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... both cortisol and ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... dexamethasone test ... evaluation • Adrenal ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... Recommended in men and ... Non-invasive testing ... Gastrointestinal #Evaluation #workup ... #diagnosis #gastroenterology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... CT scan, adrenal ... #Differential #Diagnosis ... Causes #Screening #Workup
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
and Workup Summary ... strategy with minimal testing ... cultures, but test ... Balloon Expulsion Test ... #workup #gastroenterology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Step 1) Screening Test ... require Cosyntropin testing ... cortisol 30 min AND ... #Stimulation #Endocrinology
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 ... always ask your ... Myasthenia #Gravis #PhysicalExam
Celiac Disease - Diagnosis Algorithm
IgA TTG has high sensitivity and specificity of ~ 98% and is
pts need further testing ... -A negative test ... -A positive test ... - Gastroenterology ... #workup