43 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
- Cosyntropin Stimulation ... Test T-1m: Baseline ... Insufficiency #Testing ... #Cosyntropin #Stimulation
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... chronic lack of stimulation ... laboratory #diagnosis #testing ... endocrinology #workup
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... Cost - Cost per test ... Cardiac stress test ... Syncope #diagnosis #workup ... #testing #Cost
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
voice or noxious stimulation ... Test downward eye ... Test if patient ... Apply a noxious stimulation ... document response (tests
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea - Workup ... hydrogen breath test ... A/P, Consider testing ... celiac and/or testing ... Chronic #Diarrhea #Workup
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
treponemal antibody tests ... specific trep. tests ... trep antibody) Reflex ... RPR) Non-trep tests ... Reverse #Algorithm #Testing
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 ... : Cosyntropin Stimulation ... Diagnosis #ACTH #Stimulation
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Additional laboratory tests ... chronic kidney tests ... Test for celiac ... Non-invasive testing ... Gastrointestinal #Evaluation #workup
Commonly Used Diagnostic Tests for Celiac Disease

Tissue transglutaminase (tTG) IgA antibodies
 - Most reliable noninvasive test
Used Diagnostic Tests ... reliable noninvasive test ... first-level screening test ... Celiac #Disease #Testing ... #Diagnosis #Workup
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
, hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline