8 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... ACTH) stimulation test ... baseline ACTH - Secondary ... adrenal insufficiency ... #Algorithm #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
- Differential ... Dexamethasone Suppression Test ... Pheochromocytoma (Paroxysmal ... • Other #AdrenalMass ... Diagnosis #Algorithm #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Secondary Adrenal ... adrenal insufficiency ... adrenal insufficiency ... adrenal insufficiency ... diagnosis #testing #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... Differential Diagnosis ... ACTH-Dependent (Secondary ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... Standard Stim test ... #Insufficiency ... #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Causes of Secondary ... Adrenal Insufficiency ... A STIM test can ... Diagnosis #Management #Endocrinology
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Mass - Differential ... Dexamethasone Suppression Test ... Pheochromocytoma (Paroxysmal ... Carcinoma #AdrenalMass ... Diagnosis #Algorithm #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Step 3) Differentiate ... primary vs secondary ... #Insufficiency ... #Stimulation #Endocrinology