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diagnosis clinical radiology differential management pocus echocardiogram causes ekg radiologyassistant cxr ecg pulmonary treatment em electrocardiogram a4c peds ctchest physicalexam
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Insufficiency Algorithm ... T-1m: Baseline cortisol ... IV T30m: Repeat cortisol ... drawn T60m: Final cortisol ... Insufficiency #Testing #Algorithm
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Syndrome Testing Algorithm ... Free Urine • Cortisol ... following morning: Cortisol ... , Serum (or Cortisol ... Syndrome #diagnosis #algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... ACTH Early am cortisol ... Cosyntropin - Measure cortisol ... injection - If f/u cortisol ... Insufficiency #Diagnosis #Algorithm
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Screening Test: 6-8AM Cortisol ... Early morning cortisol ... - Peak cortisol ... Insufficiency #Algorithm
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Insufficiency Diagnosis Algorithm ... findings (see algorithm ... : - AM serum cortisol ... unlikely - If serum cortisol ... Insufficiency #Diagnosis #Algorithm
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Consider: SIADH, Cortisol ... #differential #algorithm
Evaluation of Secondary Hypertension • Primary aldosteronism - PRA, PAC • Renal artery stenosis - Renal
Late-night salivary cortisol ... 24-h urine free cortisol
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 ... • Myalgia Cortisol ... BP • ↓ Serum cortisol ... potassium, AM cortisol
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
A baseline 8am cortisol ... diagnostic of AI and a cortisol ... Obtain baseline cortisol ... Measure cortisol ... and 60 minutes Cortisol
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
higher circulating cortisol ... 24-hour urine cortisol ... morning serum cortisol ... midnight salivary cortisol ... midnight serum cortisol
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