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Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... Clinical suspicion ... plasma ACTH Low Cortisol ... #Diagnosis #Algorithm
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
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Early morning cortisol ... - Peak cortisol ... Step 3) Differentiate ... Insufficiency #Algorithm
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Consider: SIADH, Cortisol ... hyponatremia #diagnosis #differential ... #algorithm #causes
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
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Insufficiency Diagnosis Algorithm ... Clinical features ... findings (see algorithm ... : - AM serum cortisol ... unlikely - If serum cortisol
Differential Diagnosis of Hypoglycemia Evaluation of Hypoglycemia Patients with known diabetes who are not systemically ill and can
Differential Diagnosis ... growth hormone, cortisol ... #Hypoglycemia #Differential ... #Algorithm #Drugs
Algorithmic Approach and Differential Diagnosis - Hypercalcemia #Diagnosis #Hypercalcemia #Differential #Algorithm #Workup
Algorithmic Approach ... and Differential ... Hypercalcemia #Differential ... #Algorithm #Workup
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 Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Generalized Weakness - Differential ... Rhabdomyolysis, Critical ... • Thyroid ↑↓, Cortisol ... Generalized #Weakness #Differential
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