76 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
- Cosyntropin Stimulation ... Test T-1m: Baseline ... Insufficiency #Testing ... #Cosyntropin #Stimulation
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
voice or noxious stimulation ... Test downward eye ... Test if patient ... Apply a noxious stimulation ... document response (tests
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... chronic lack of stimulation ... by ACTH • CRH stimulation ... laboratory #diagnosis #testing
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
treponemal antibody tests ... specific trep. tests ... trep antibody) Reflex ... RPR) Non-trep tests ... Reverse #Algorithm #Testing
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Step 1) Screening Test ... require Cosyntropin testing ... ) Confirmation Test ... : Cosyntropin Stimulation ... Diagnosis #ACTH #Stimulation
Antenatal Visits - Testing and Schedule
At Every Visit:	
 • Gestational Age	
 • BP
 • Maternal Weight
Antenatal Visits - Testing ... Glucose Tolerance Testing ... Glucose Challenge Test ... Glucose Tolerance Test ... Amy Chung, MD, MSc
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
then go to stim testing ... Standard Stim test ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
, hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome Testing ... INDICATIONS FOR TESTING ... hypertension) Testing ... dexamethasone suppression test ... Urine Free by LC-MS
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... Palsy This tests ... ulnar nerve palsy, testing ... Froments #Sign #Test ... #physicalexam #msk