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

Early am cortisol < 3
diagnostic of primary ... OR secondary AI ... suggests EITHER primary ... or secondary AI ... ACTH: - High = primary
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Primary vs Secondary ... Pathophysiology Primary ... AI = adrenal glands ... Secondary AI = the ... Medicine @ucsdim #Primary
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
specificity for AI ... > 15 excludes AI ... Differentiate primary ... vs secondary AI ... consistent with primary
IDSA Recommendations for Preventing and Treating Disseminated Mycobacterium Avium Complex in HIV-AIDS
Preventing 1st Episode of Disseminated
Disseminated MAC Disease (Primary ... for Initiating Primary ... some patients) (AI ... Discontinuing Primary ... for Restarting Primary
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary Primary ... In secondary AI ... diagnostic of AI ... diagnostic of AI ... Insufficiency #Primary
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
ACTH-Independent (Primary ... Insufficiency #AI
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... hypothyroidism - Primary ... AI present - ... IF < 18 ug/dL Primary ... AI present -
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
Idiopathic Eosinophilia Primary ... Eosinophilia: • Primary ... bartonella) • Rheum/AI
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
risk for either primary ... Insufficiency #AI
Adrenal Crisis
Do not confuse acute adrenal crisis with Addison disease. In 1855, Thomas Addison described a
hyperpigmentation as the primary ... common cause of primary ... hydrocortisonr #ACTH #AI