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diagnosis differential management algorithm comparison pharmacology clinical endocrinology cardiology nephrology classification radiology treatment adrenal neurology medications pulmonary workup criticalcare radiologyassistant
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 #Insufficiency ... #Cosyntropin #Stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Weakness, fatigue, nausea ... hormone (ACTH) stimulation ... Response - Adrenal insufficiency ... Primary adrenal insufficiency
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Adrenal Insufficiency ... PRIMARY adrenal insufficiency ... > 18, adrenal insufficiency ... with cosyntropin stimulation ... #Cosyntropin #Stimulation
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... aldosterone - Low in cases ... primary adrenal insufficiency ... Secondary Adrenal Insufficiency ... secondary adrenal insufficiency
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal Insufficiency ... aldosterone Causes ... of Adrenal Insufficiency ... Primary ovarian insufficiency ... present - ACTH stimulation
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Hypothyroidism • Adrenal insufficiency ... polydipsia • Insufficient ... Diagnosis #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Hypothyroidism • Adrenal insufficiency ... polydipsia • Insufficient ... Diagnosis #Algorithm #Causes
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... ) Test 2: ACTH Stimulation ... BCM_InternalMed #Adrenal #Insufficiency
Occult Causes of Non-Response to Vasopressors vital disclaimer: the cognitive response to hypotension should not be reaching
Occult Causes of ... response -> cognitive pause ... anaphylaxis - adrenal insufficiency ... toxicologic - 2nd cause ... #Differential #Causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... AI #Adrenal #Insufficiency ... Algorithm #ACTH #Stimulation
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