9 results
Hypoglycemia - Evaluation Algorithm
Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Hypoglycemia - Evaluation ... Algorithm Interpreting ... #Evaluation #Algorithm ... #workup #diagnosis ... #endocrinology
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
Evaluation of Hypoglycemia ... , no extensive workup ... EtOH - Infectious workup ... Diagnosis #EM #IM ... Differential #Algorithm
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 ... level drawn BCM IM ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... - Unexplained hypoglycemia ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Test 1: Baseline ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... response BCM IM ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... hyperpigmentation, hypoglycemia ... hormone (ACTH) stimulation ... test AND • Baseline ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... - Evaluation of ... Standard Stim test ... #ACTH #Stimulation ... #Test #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... Insufficiency #Evaluation ... diagnosis #testing #endocrinology ... #workup
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Thyroid Function Tests ... in the Evaluation ... Hyperthyroidism: Work-up ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology