15 results
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... consistent with secondary ... #Algorithm #Diagnosis ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... 250 mcg of IV Cosyntropin ... AI Measure ACTH ... #Test #Endocrinology
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
Algorithm for the ... diagnosis of adrenal insufficiency ... The standard cosyntropin ... new-onset (<2-4 weeks) secondary ... #Algorithm #Cutoffs
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... - Secondary adrenal ... Differential #Diagnosis #Algorithm ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... (Secondary): • ... #AI #Differential ... #Causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... skin (due to high ACTH ... , proceed with cosyntropin ... #Cosyntropin #Stimulation ... #StimTest #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Adrenalitis Other causes ... Causes of Secondary ... Give 250 mcg of cosyntropin ... Diagnosis #Management #Endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Diagnosis Workup Algorithm ... or tuberculosis Secondary ... apoplexy • Isolated ACTH-deficiency ... Diagnosis #Workup #Algorithm ... #endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Adrenal Insufficiency ... be low, while ACTH ... Secondary AI = the ... Low ACTH leads to ... Pathophysiology #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... antibody test Secondary ... test - If the secondary ... secretion; in chronic secondary ... diagnosis #testing #endocrinology