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diagnosis adrenal insufficiency differential hepatology stimulation acromegaly adrenalmass benign enzymes gastroenterology hemochromatosis hyperthyroidism hypokalemia interpretation laboratory lfts liver low management
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
- Evaluation of ... then go to stim testing ... Standard Stim test ... this indicates normal ... #Test #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ) stimulation test ... insufficiency • Low or normal ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... aldosterone - Often normal ... Insufficiency #Evaluation ... laboratory #diagnosis #testing ... #endocrinology
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Algorithm INDICATIONS ... acral features, abnormal ... gland and consider evaluation ... #Algorithm #diagnosis ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Test 1: Baseline ... Beware of major normal ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Differential Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... Dexamethasone Suppression Test ... #Endocrinology
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
tests algorithm ... indicate the initial evaluation ... history alongside evaluation ... decision for repeat testing ... #Algorithm #Hepatology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... arrhythmias and paralysis ... differentiating kidney K wasting ... consumption • Low/Normal ... Hypokalemia #diagnosis #Algorithm
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... in the Evaluation ... • Low TSH, Low normal ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
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