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adrenal insufficiency algorithm signs symptoms acth differential disease treatment workup acromegaly addisons anesthesia anesthesiology causes chagas checklist cosyntropin cushings evaluation
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
, only seen in PRIMARY ... around 6-8AM) – if value ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
volume depletion, abdominal ... hormone (ACTH) stimulation ... test AND • Baseline ... baseline ACTH - Primary ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Insufficiency Diagnosis ... Algorithm Test ... of major normal value ... 2: ACTH Stimulation ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis ... of primary OR secondary ... Standard Stim test ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... Insufficiency: • ACTH stimulation ... autoimmune-mediated primary ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
: Cosyntropin Stimulation ... Differentiate primary ... consistent with primary ... #ACTH #Stimulation ... #Endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Nausea/vomiting • Abdominal ... Serum DHEAS Diagnosis ... present - ACTH stimulation ... addisons #disease #endocrinology ... #diagnosis #signs
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
and Management ... Summary Primary ... ) w/ anorexia, abdominal ... A STIM test can ... #Management #Endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... classically purple abdominal ... not a feature of primary ... dexamethasone suppression test ... signs #symptoms #endocrinology
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... hyperthyroidism Diagnosis ... T4 • Thyroid stimulating ... fibrillation/flutter • Abdominal ... #differential #endocrinology
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