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Medicine Disorders of Adrenal Gland 19e5586b

Which is the best test for diagnosis of adrenal insufficiency?

A
CT abdomen
B
Steroid autoantibodies
C
Fludrocoisone challenge test
D
Cosyntropin test
High-Yield Explanation
The diagnosis of Primary Adrenal Insufficiency is established by Cosyntropin test Coisol values of <18ug/dl sampled 30-60 minutes after ACTH stimulation will diagnose the disease. This is followed by plasma ACTH values to identify primary versus secondary Addison disease. Steroid auto-antibodies are marker for Autoimmune Adrenalitis. Fludrocoisone challenge test is done for Conn syndrome.

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