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Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Clinical suspicion ... , hypoglycemia Testing ... ACTH) stimulation test ... • Low or normal
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... this indicates normal
Antenatal Visits - Testing and Schedule At Every Visit: • Gestational Age • BP • Maternal Weight
Age • BP • Maternal ... Glucose Challenge Test ... - BW 1 hr later ... Glucose Tolerance Test ... if ≥1 value is abnormal
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... Clinical features ... findings (see algorithm ... cosyntropin stimulation test ... interact with stim test
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... Beware of major normal ... OCPs, pregnancy) Test
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... initial response to abnormal ... decision for repeat testing ... #Algorithm #Hepatology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... Secondary Adrenal Insufficiency ... aldosterone - Often normal ... laboratory #diagnosis #testing
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... require Cosyntropin testing ... ) #Adrenal #Insufficiency ... #Algorithm #Diagnosis
Causes of Growth Restriction - Small for Gestational Age - Differential Diagnosis Algorithm Maternal • Chronic Maternal
Differential Diagnosis Algorithm ... Cell) • Renal Insufficiency ... Malformations Placental Insufficiency ... Placenta Previa • Abnormal ... Differential #Diagnosis #Algorithm
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