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diagnosis adrenal endocrinology insufficiency acth differential evaluation syphilis acog antibiotic autoimmune cauda caudaequina causes cosyntropin covid19 equina hepatitis hepatology microbiology
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
Syphilis Diagnostic Algorithm • Syphilis (TP) EIA • RPR • A different treponemal specific test (TPPA) ID
Syphilis Diagnostic Algorithm ... treponemal specific test ... Syphilis #Diagnosis #Algorithm ... #Testing #laboratory
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... chronic lack of stimulation ... Insufficiency #Evaluation #laboratory ... #diagnosis #testing
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 ... Syphilis #Reverse #Algorithm ... #Testing #Diagnosis
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
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation ... #Test #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... Differential #Diagnosis #Algorithm
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
• Provocative Tests ... bulbocavernosus reflex ... absent anal wink test ... upon pinprick stimulation ... around the anus Laboratory
Autoimmune Hepatitis - Testing Algorithm Individual Tests: • F-Actin (Smooth Muscle) Antibody, IgG by ELISA with Reflex
Autoimmune Hepatitis - Testing ... Algorithm Individual ... Tests: • F-Actin ... by ELISA with Reflex ... Autoimmune #Hepatitis #Algorithm
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... event, follow ACC algorithm ... determine if stress test ... surgery Stress Testing ... preoperative stress testing
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