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pediatrics differential algorithm management causes clinical assessment cardiology em infant symptoms neurology signs workup msk radiology pemsource adrenal endocrinology mnemonic
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
hypertension) Testing: • Cortisol ... Free Urine • Cortisol ... following morning: Cortisol ... , Serum (or Cortisol ... Cushing #Syndrome #diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis ... ACTH Early am cortisol ... 3 is virtually diagnostic ... injection - If f/u cortisol ... Insufficiency #Diagnosis
Adrenal Crisis Do not confuse acute adrenal crisis with Addison disease. In 1855, Thomas Addison described a
In 1856, Trousseau ... the discovery of cortisone ... adrenalcrisis #cortisol
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Early morning cortisol ... - Peak cortisol ... lower, you have diagnosed ... Insufficiency #Algorithm #Diagnosis
Evaluation of Secondary Hypertension • Primary aldosteronism - PRA, PAC • Renal artery stenosis - Renal
Late-night salivary cortisol ... 24-h urine free cortisol ... Evaluation #workup #diagnosis
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Insufficiency - Diagnosis ... <3 is diagnostic ... Measure cortisol ... less than 18 is diagnostic ... Primary #Secondary #Diagnosis
Principal features of Destructive and Irritative cortical lesions in right-handed individual #Cortical #Cortex #Lesions #Features #Signs #Symptoms
and Irritative cortical ... individual #Cortical ... Brain #Neurology #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Insufficiency Diagnosis ... eosinophilia Diagnostic ... : - AM serum cortisol ... unlikely - If serum cortisol ... Insufficiency #Diagnosis
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
glands with lack of cortisol ... RTA type IV) Cortisol ... BP • ↓ Serum cortisol ... Serum DHEAS Diagnosis ... endocrinology #diagnosis
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
not stimulate cortisol ... ACTH • Serum cortisol ... gland impacts both cortisol ... an increase in cortisol ... Evaluation #laboratory #diagnosis
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