A
Here’s a concise summary of the clinical notes:
Summary:
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Prednisolone 5 mg/day is being used as physiological replacement (minimal dose).
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Patient is adrenally suppressed (likely due to chronic steroid use).
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Plan to perform Short Synacthen Test to assess adrenal function.
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Cortisol at 02:00 expected to show lowest levels (circadian rhythm).
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09:00 cortisol and ACTH levels to be drawn – must be placed on ice immediately after collection.
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Also note: Ammonia and ACTH samples both require ice handling.
Let me know if you’d like this formatted for a handover note or guideline.
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