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Topics:
Endocrinology
•
Adrenal Disorders
How do you approach the evaluation of adrenal insufficiency in patients with chronic opioid use who present with fatigue and hypotension but have normal morning cortisol levels?
Related Questions
What strategies do you use to prevent overcorrection of serum sodium in patients with severe hyponatremia and adrenal insufficiency when initiating glucocorticoid therapy?
Does Entresto interfere with the measurement of ARR (Aldosterone to Renin Ratio) when working up a patient for hyperaldosteronism?
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?
In patients with secondary adrenal insufficiency, when would you consider adding fludrocortisone to their steroid regimen?
How will the newer JCEM guidelines on primary aldosteronism (PA) impact your management and screening of PA?
How do you approach treatment of a patient with bilateral adrenal gland thickening & biochemical evidence of ACTH-independent hypercortisolism?
Do you recommend checking plasma metanephrine levels during adrenal venous sampling to assist in assessing lateralization in primary aldosteronism?
Do you forgo adrenal imaging in a patient with primary hyperaldosteronism who has decided against surgery?
Is a baseline cortisol at 0 minutes necessary to do as part of an ACTH stimulation test when performing the test in late morning or in the afternoon?
What is the role of oral therapy for hypercortisolism diagnosed based on unsuppressed cortisol after 1mg dexamethasone suppression test in a normoglycemic patient who also has negative adrenal imaging?
