1137 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
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Differential Diagnosis Workup ... Algorithm Primary ... • Autoimmune primary ... Differential #Diagnosis #Workup
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
Primary Amenorrhea Differential Diagnosis Framework

Workup:
 • β-HCG, TSH and PRL
 • Breast Tanner Staging
 • FSH,
Primary Amenorrhea ... Diagnosis Framework Workup ... khudhur_moh #Primary
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Primary hyperapara ... → Primary hyperpara ... Hypercalcemia #workup ... elevated #evaluation #workup
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Zona Glomerulosa: Primary ... - Plasma or urinary ... Evaluation #Diagnosis #workup
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 -
Quincke's Pulse in Severe Aortic Regurgitation

Little physical exam finding for the end of the week! Quinke’s
chronic severe AI ... associated with chronic AI