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

Early am cortisol < 3
primary OR secondary AI ... primary or secondary AI ... High = primary AI ... secondary or tertiary AI ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
specificity for AI ... > 15 excludes AI ... have diagnosed AI ... primary vs secondary AI ... #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
- Differential ... Diagnosis Algorithm ... ACTH-Dependent ... #AI #Differential ... #Causes #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... #Differential # ... Diagnosis #Algorithm ... #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal Insufficiency ... anticoagulation, DIC and sepsis ... /dL -> Primary AI ... ug/dL Primary AI ... addisons #disease #endocrinology
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Hypoglycemia - Differential ... Diagnosis Algorithm ... Other Causes: • Critical ... Hypopituitarism • Adrenal Insufficiency ... #endocrinology