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diagnosis differential nephrology algorithm causes management clinical renal pharmacology pocus ultrasound endocrinology pathophysiology kidney treatment table signs symptoms workup rheumatology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Adrenal Insufficiency ... - Cosyntropin Stimulation ... BCM_InternalMed #Adrenal ... #Cosyntropin #Stimulation
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Adrenal Insufficiency ... seen in PRIMARY adrenal ... suggestive of adrenal ... with cosyntropin stimulation ... #Cosyntropin #Stimulation
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... long-term lack of stimulation ... chronic lack of stimulation ... by ACTH • CRH stimulation
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Test: Cosyntropin Stimulation ... determines if the adrenal ... gland) #Adrenal ... Diagnosis #ACTH #Stimulation
Primary vs Secondary Adrenal Insufficiency - Pathophysiology Primary AI = adrenal glands themselves are the problem. This
Primary vs Secondary Adrenal ... Pathophysiology Primary AI = adrenal ... leads to limited adrenal ... stimulation, thus ... Primary #Secondary #Adrenal
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... hormone (ACTH) stimulation ... Cortisol Response - Adrenal ... ACTH - Primary adrenal ... ACTH - Secondary adrenal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... indicates normal adrenal ... tertiary AI #Adrenal ... Algorithm #ACTH #Stimulation
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... Damage of the adrenal ... aldosterone Causes of Adrenal ... present - ACTH stimulation ... HYDROCORTISONE #Primary #adrenal
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
the diagnosis of adrenal ... standard cosyntropin stimulation ... evaluation of adrenal
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
beta-2 adrenergic simulation ... Medications Renal ... Losses Non-renal
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