23 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Insufficiency Algorithm ... - Cosyntropin Stimulation ... Test T-1m: Baseline ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Algorithm for the diagnosis of chronic diarrhea.
It is usually impractical to test and treat the many
Algorithm for the ... impractical to test ... many possible causes ... pick specific tests ... Chronic #Diarrhea #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
Syphilis Reverse Algorithm ... first step in the algorithm ... trep antibody) Reflex ... of inflammation caused ... #Testing #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... aldosterone - Low in cases ... production • CRH stimulation ... chronic lack of stimulation ... laboratory #diagnosis #testing
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
voice or noxious stimulation ... Test downward eye ... Test if patient ... Apply a noxious stimulation ... Casey Albin MD @
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
Lazarus Reflex on ... or during apnea testing ... reported in some cases ... #criticalcare #braindeath ... #braindead
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Insufficiency #Algorithm ... Diagnosis #ACTH #Stimulation
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... mimics, repeat testing ... → Refer to Nephrology ... cystoscopy • Refer ... Nephrology if cause