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diagnosis endocrinology adrenal acth stimulation cirrhosis diet differential evaluation hepatology hyperthyroidism management nutrition pathophysiology perioperative pft preop preoperative pulmonary risk
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... Tests in the Evaluation ... T4 +/- T3 → Primary ... Hyperthyroidism #algorithm ... endocrinology #TFTs #TSH #Interpretation
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... Baseline plasma ACTH Low ... • Low or normal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... normal adrenal function ... primary AI - Low
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... specificity for AI (but low ... require Cosyntropin testing ... - Low ACTH is
Pulmonary Function Test (PFT) Interpretation Algorithm Approach to PFTs: 1) Look at Flow-Volume Loop if available 2) FEV1/FVC <
Pulmonary Function ... Test (PFT) Interpretation ... Algorithm Approach ... PFTs: 1) Look at Flow-Volume ... #Test #PFT #Interpretation
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
Prioritizing Tool • Low ... Biolectrical Impedance Analysis ... (Handgrip test) ... muscle mass and function ... • Prescribe low
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Assess functional ... Functional status ... event, follow ACC algorithm ... determine if stress test ... Orthopedic • Low
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