13 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
primary OR secondary AI ... primary or secondary AI ... High = primary AI ... secondary or tertiary AI ... Stimulation #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Differential Diagnosis Algorithm ... Insufficiency #AI ... Differential #Diagnosis #Algorithm ... #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
specificity for AI ... > 15 excludes AI ... have diagnosed AI ... primary vs secondary AI ... #Stimulation #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
In secondary AI ... diagnostic of AI ... least 18 excludes AI ... diagnostic of AI ... Diagnosis #Management #Endocrinology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI ... Workup Algorithm ... osmolarity If cause ... #Workup #Algorithm ... Diagnosis #nephrology #causes
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... /dL -> Primary AI ... ug/dL Primary AI ... addisons #disease #endocrinology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Infectious Causes ... of Adrenal Insufficiency ... #Infectious #Causes ... #AI #differential ... #diagnosis #endocrinology
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Differential Diagnosis Algorithm ... drugs • ACE ... Differential #Diagnosis #Algorithm ... #endocrinology ... #causes
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
and Secondary Causes ... Differential Diagnosis Algorithm ... taken at home, work ... disease - CKD, AKI ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Treatment - Stress Dose Steroids
 • Large Bore IVs, ~2L IVF & Draw workup
Adrenal Insufficiency ... ~2L IVF & Draw workup ... afterwards • Treat Adrenal ... Insufficiency #AI ... StressDose #Steroids #endocrinology