11 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
due to high ACTH stimulating ... test: Steroids ... interact with stim test ... #Cosyntropin #Stimulation ... #StimTest #Endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... - Cosyntropin Stimulation ... Test T-1m: Baseline ... #Cosyntropin #Stimulation ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... hormone (ACTH) stimulation ... test AND • Baseline ... #Differential # ... Diagnosis #Algorithm #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
: • ACTH stimulation ... production • CRH stimulation ... : • ACTH stimulation ... chronic lack of stimulation ... diagnosis #testing #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm Test ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... Diagnosis #Algorithm #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... : Cosyntropin Stimulation ... Step 3) Differentiate ... ) #Adrenal #Insufficiency ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Standard Stim test ... AI #Adrenal #Insufficiency ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Adrenal Mass - Differential ... Dexamethasone Suppression Test ... Pheochromocytoma (Paroxysmal ... AdrenalMass #Benign #Differential ... Diagnosis #Algorithm #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal Insufficiency ... Causes of Adrenal Insufficiency ... present - ACTH stimulation ... test: Administer ... addisons #disease #endocrinology
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Adrenal Mass - Differential ... Dexamethasone Suppression Test ... Pheochromocytoma (Paroxysmal ... AdrenalMass #Malignant #Differential ... Diagnosis #Algorithm #Endocrinology