Hepatoadrenal Syndrome Criteria | Medical Algorithm

Evaluation

Are you evaluating a patient in the intensive care unit?

Yes

Is the patient physiologically stressed with hypotension, respiratory failure or other condition?

Yes

Random serum cortisol

Has the patient been tested with 1 microgram of cosynotropin?

Yes

Serum cortisol at 30 minutes after cosynotropin dose

Is the patient vasopressor dependent?

Yes

Clinical diagnosis

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Does the patient have the hepatoadrenal syndrome?

The prognosis for the patient is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Adrenal Crisis in Patient with Adrenal Insufficiency
Clinical Diagnosis, Including Family History For Genetics
- Clinical Features of Acute Adrenal Crisis (Acute Addisonian Crisis)
Criteria For Diagnosis
- Factors to Identify Adrenal Insufficiency in Patient Being Admitted to Hospital

Therapy

Selection
- Risk Factors for Adrenal Crisis in Patient with Adrenal Insufficiency
Dosage Calculations
- Guidelines for Adrenal Supplementation Therapy in Patients with Adrenal Insufficiency

Specialty

Endocrinology
Clinical Laboratory
Critical Care

Objective

criteria for diagnosis

ICD-10

E27.4 - Other and unspecified adrenocortical insufficiency
K76.9 - Liver disease, unspecified

Criteria for Hepatoadrenal Syndrome

Purpose: To evaluate a patient with liver disease in the intensive care unit (ICU) for the hepatoadrenal syndrome as reported by Marik et al.