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diagnosis causes management acth classification criticalcare overview shock stimulation acute addisons allergy disease eosinophilia hypoglycemia infectious infectiousdiseases injury kidney lowglucose
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... primary OR secondary AI ... primary or secondary AI ... High = primary AI ... #Adrenal #Insufficiency
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Insufficiency - ... Differential Diagnosis ... Algorithm ACTH-Dependent ... #AI #Differential ... #Causes #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 ... Step 3) Differentiate ... primary vs secondary AI
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... Algorithm Clinical ... #Differential #Diagnosis ... #Algorithm #endocrinology
Infectious Causes of Adrenal Insufficiency Anatomical distribution of vessels to the adrenal makes the gland prone to
Insufficiency ... vessels to the adrenal ... #Insufficiency ... #AI #differential ... #diagnosis #endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
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 ... Hypopituitarism • Adrenal ... Insufficiency ... #endocrinology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Kidney Injury - AKI ... Workup Algorithm ... and Differential ... investigations depending on clinical ... #Workup #Algorithm
Eosinophilia - Differential Diagnosis Algorithm Idiopathic Eosinophilia Primary Eosinophilia: • Primary hypereosinophilic syndrome • Eosinophilic Leukemia • MPN/MDS
Eosinophilia - Differential ... Diagnosis Algorithm ... bartonella) • Rheum/AI ... Eosinophilic pneumonia, Adrenal ... insufficiency,
Adrenal Insufficiency Treatment - Stress Dose Steroids • Large Bore IVs, ~2L IVF & Draw workup
Adrenal Insufficiency ... Insufficiency before ... Major Stressor (critical ... #AI #Treatment # ... StressDose #Steroids #endocrinology
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