1490 results
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
) - Simplified Differential ... Endogenous • ACTH-dependent ... : - ACTH-secreting ... Disease) - ACTH-secreting ... Cushings #syndrome #Differential
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Weakness, fatigue, nausea ... Baseline plasma ACTH ... High baseline ACTH ... Insufficiency #Differential
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - Differential ... Diagnosis Algorithm ACTH-Dependent ... Insufficiency #AI #Differential ... Diagnosis #Algorithm #Causes
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... Tuberculosis: can cause ... AM cortisol and ACTH ... AI present - ACTH
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal ... Insufficiency - Differential ... adrenomyeloneuropathy ACTH ... Insufficiency #Differential ... Diagnosis #Algorithm #Causes
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
to a bolus of ACTH ... - Check ACTH ... Step 3) Differentiate ... looking at the ACTH ... - Low ACTH is
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Differential/diagnosis ... Activate cath lab ... See thread for POCUS ... POCUS (apical window
Drugs Causing Acute Pancreatitis

Class Ia: The medications in which there was a rechallenge and other causes
rechallenge and other causes ... out other common causes ... Class II: Cases ... #Pancreatitis #Causes ... #Differential #
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Adrenal Mass - Differential ... Hyperplasia • ACTH ... Dependent • ACTH ... AdrenalMass #Benign #Differential
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Axis Response to ACTH ... unclear (often the case ... secondary AI Measure ACTH ... Diagnosis #Algorithm #ACTH