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Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Adrenal Insufficiency ... due to high ACTH stimulating ... PRIMARY adrenal insufficiency ... with cosyntropin stimulation ... #Cosyntropin #Stimulation
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Adrenal Insufficiency ... - Cosyntropin Stimulation ... BCM_InternalMed #Adrenal #Insufficiency ... #Cosyntropin #Stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... hormone (ACTH) stimulation ... Response - Adrenal insufficiency ... Primary adrenal insufficiency ... Secondary adrenal insufficiency
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
: • ACTH stimulation ... production • CRH stimulation ... : • ACTH stimulation ... chronic lack of stimulation ... by ACTH • CRH stimulation
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... ) Test 2: ACTH Stimulation ... BCM_InternalMed #Adrenal #Insufficiency
Primary vs Secondary Adrenal Insufficiency - Pathophysiology Primary AI = adrenal glands themselves are the problem. This
Secondary Adrenal Insufficiency ... limited adrenal stimulation ... Secondary #Adrenal #Insufficiency
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... Test: Cosyntropin Stimulation ... ) #Adrenal #Insufficiency ... Diagnosis #ACTH #Stimulation
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... AI #Adrenal #Insufficiency ... Algorithm #ACTH #Stimulation
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
diagnosis of adrenal insufficiency ... standard cosyntropin stimulation
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal Insufficiency ... Causes of Adrenal Insufficiency ... Primary ovarian insufficiency ... present - ACTH stimulation ... Primary #adrenal #insufficiency
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