Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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adrenal diagnosis endocrinology insufficiency acth
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
OR secondary AI ... Standard Stim test ... or secondary AI ... AI - Low = secondary ... #ACTH #Stimulation
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... : Cosyntropin Stimulation ... Step 3) Differentiate ... primary vs secondary ... consistent with primary
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... hormone (ACTH) stimulation ... test AND • Baseline ... baseline ACTH - Primary ... baseline ACTH - Secondary
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