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Topics:
Endocrinology
•
Adrenal Disorders
Are there any differences in specificity or sensitivity of the ACTH stimulation test when cosyntropin is administered intravenously versus intramuscularly?
Related Questions
For patients with adrenal insufficiency who are on hydrocortisone replacement, would you recommend stress doses to cover for minor procedures such as dental work or thyroid fine-needle aspiration biopsies?
Is adequate BP control sufficient enough when titrating spironolactone therapy for primary hyperaldosteronism treatment?
How do you manage insomnia in a patient with Cushing syndrome, considering that elevated nighttime cortisol levels may contribute to their sleep disturbances?
How do you approach checking an aldosterone to renin ratio in an outpatient with hypertension and hypokalemia that is difficult to correct with oral potassium replacement?
In pregnant patients with Non Classical Congenital Adrenal hyperplasia, what factors help you determine the need for continued steroid use throughout pregnancy including labor and delivery?
How will the newer JCEM guidelines on primary aldosteronism (PA) impact your management and screening of PA?
When starting stress dose steroids for patient with primary adrenal insufficiency, how do you decide whether to start hydrocortisone 100 mg every 8 hours versus 50 mg every 6 hours?
How do you counsel younger patients regarding long-term radiologic monitoring of non-functional adrenal adenomas?
Do you recommend using a 24-hour urinary cortisol/urinary creatinine ratio over a 24 hour urine cortisol to screen patients for Cushing's syndrome?
How do you counsel patients on the likelihood of resolution of their hypertension post adrenalectomy for primary hyperaldosteronism?
