11 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Cosyntropin Stimulation Test ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm ... #Stimulation #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... , hypoglycemia Testing ... ACTH) stimulation test ... Primary adrenal insufficiency ... Diagnosis #Algorithm #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... laboratory #diagnosis #testing ... #endocrinology ... #workup
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... Microbiologic-Testing ... Microbiologic-Testing ... Breath test for ... #Workup #Management
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... - Workup Osmotic ... hydrogen breath test ... / #Chronic #Diarrhea ... #Workup #diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
chronic kidney tests ... Test for celiac ... Non-invasive testing ... endoscopy • Insufficient ... Gastrointestinal #Evaluation #workup
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... Step 1) Screening Test ... require Cosyntropin testing ... ) #Adrenal #Insufficiency ... #Stimulation #Endocrinology
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Diagnosis and Workup ... strategy with minimal testing ... cultures, but test ... • If Diarrhea: ... Balloon Expulsion Test
Solid Organ Transplant - Diarrhea - Diagnostic and Workup Algorithm
1st Tier Microbiologic Testing: CDiff (stool), CMV
Organ Transplant - Diarrhea ... Diagnostic and Workup ... Microbiologic Testing ... Microbiologic Testing ... stool), Breath test