#130 Cort (ACTH) Stim Test
Core IM | Internal Medicine Podcast
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The Role of Steroids in Adrenal Insufficiency
The pituitary gland produces ACTH, which then goes down and tells the adrenals to produce cortisol. Long-term steroid suppresses the whole HPA axis. So we're giving a horse kick in the form of an ACTH shot. The numbers you want to hit is above 14 for the post-stimulation cortisol,. And then above 18 is absolutely reassuring.
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