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differential insufficiency evaluation acth causes gastroenterology hypertension management secondary stimulation acidosis acromegaly adrenalmass amyloid amyloidosis antiphospholipid apls bowel celiac clinical
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Testing Algorithm ... dexamethasone suppression test ... #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... , hypoglycemia Testing ... ACTH) stimulation test ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #Algorithm #ACTH ... #Endocrinology
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Adrenal Incidentalomas ... Fasciculata: Cushing Syndrome ... dexamethasone test ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... • Cushing’s syndrome ... #Differential #Diagnosis ... Causes #Screening #Workup
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... require Cosyntropin testing ... Differentiate primary vs ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... Cutoffs are the same as ... #Algorithm #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... glands as a result ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
Irritable Bowel Syndrome ... and Workup Summary ... cultures, but test ... polyps in IBS vs ... #Diagnosis #workup
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
- Differential Diagnosis ... Algorithm Suggestive ... Polycystic Ovarian Syndrome ... Dexamethasone Suppression Test ... #Algorithm #Endocrinology
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