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insufficiency algorithm differential management acth causes primary stimulation workup acromegaly amyloid amyloidosis cushing cushings encephalopathy evaluation hypercortisolism hyperfunction hypertension hypokalemia
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
dexamethasone suppression test ... Hormone • MRI of adrenal ... #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... , hypoglycemia Testing ... ACTH) stimulation test ... baseline ACTH - Secondary ... #Algorithm #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... - Differential Diagnosis ... and Screening Testing ... • Cushing’s syndrome ... Acromegaly #Secondary
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Secondary Adrenal ... - If the secondary ... secretion; in chronic secondary ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... require Cosyntropin testing ... Differentiate primary vs secondary ... consistent with secondary ... #Stimulation #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Causes of Secondary ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST: ... #Endocrinology
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Syndrome Definition ... Differential Diagnosis ... Disease-specific testing ... , biopsy By Tess ... #diagnosis #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Posterior Reversible ... Immunosuppressive agents, Renal ... factor PRES Diagnosis ... thrombosis Testing ... #neurology
The Stages of Syphilis Primary Syphilis - The chancre lesion is the hallmark of primary syphilis.
including anterior or posterior ... and nephrotic syndrome ... with positive testing ... roots, causing a syndrome ... Latent #Tertiary #Diagnosis
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