171 results
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... dexamethasone suppression test ... Urine Free by LC-MS ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
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 cortisol ... IV T30m: Repeat cortisol ... Insufficiency #Testing #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis ... Algorithm - Evaluation ... Standard Stim test ... #Algorithm #ACTH ... #Stimulation #Test
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
- Differential Diagnosis ... Algorithm 4 tests ... after cross-arm test ... #Differential #Diagnosis ... #Algorithm #MSK
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... Step 1) Screening Test ... ) Confirmation Test ... Insufficiency #Algorithm
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Algorithm Clinical ... : - AM serum cortisol ... unlikely - If serum cortisol ... cosyntropin stimulation test ... interact with stim test
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... not stimulate cortisol ... ACTH • Serum cortisol ... - Serum tests that ... Evaluation #laboratory #diagnosis
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Insufficiency Diagnosis ... Algorithm Test ... 1: Baseline AM Cortisol ... OCPs, pregnancy) Test ... Insufficiency #Diagnosis
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
meniscal integrity) tests ... #Diagnosis #Sports ... McMurray #Drawer #Test ... #msk
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Serum DHEAS Diagnosis ... clue • Blood tests ... ACTH stimulation test ... present - ACTH test ... endocrinology #diagnosis