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diagnosis management differential stimulation acromegaly acth ai cosyntropin evaluation gravis hypoglycemia laboratory lowglucose myasthenia neurology pathophysiology polychondritis relapsing rheumatology steroids
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Clinical suspicion ... Weakness, fatigue, nausea ... ACTH) stimulation test ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Adrenal Insufficiency ... Clinical features ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: ... aldosterone - Low in cases ... insufficiency. ... diagnosis #testing #endocrinology ... #workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... #Endocrinology
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Differential Diagnosis Algorithm ... : • Critical Illness ... Insufficiency ... #endocrinology ... #causes
Adrenal Insufficiency Treatment - Stress Dose Steroids • Large Bore IVs, ~2L IVF & Draw workup
Adrenal Insufficiency ... Treatment - Stress ... ~2L IVF & Draw workup ... Major Stressor (critical ... StressDose #Steroids #endocrinology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Clinical Picture ... Ocular- 50%: Ptosis ... Respiratory insufficiency ... Bedside: ice pack test ... /Edrophonium test
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... Diagnosis and Workup ... glucose suppression test ... Diagnosis #Management #Endocrinology ... #Treatment #Pathophysiology
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
the most common clinical ... chondritis • Ocular ... insufficiency ... tests for (not ... affected tissue Treatment
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