24 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... Insufficiency #Testing ... #Stimulation #endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Hormone • MRI of adrenal ... #endocrinology ... #Adrenal #Hyperfunction
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 ... Differential #Diagnosis #Algorithm ... #endocrinology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... mimics, repeat testing ... for renal biopsy ... #Workup #urology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... Check pregnancy test ... affects diagnostic workup ... choices AND management ... #Workup #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... autoantibody tests ... laboratory #diagnosis #testing ... #endocrinology ... #workup
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
chronic kidney tests ... Test for celiac ... Non-invasive testing ... change medical management ... Gastrointestinal #Evaluation #workup
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diabetes Insipidus Workup ... & desmopressin test ... Hypernatremia #Management ... #Algorithm #Sodium ... #nephrology #insipidus