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

Early am cortisol < 3
Adrenal Insufficiency ... primary OR secondary AI ... High = primary AI ... #Adrenal #Insufficiency ... Stimulation #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal Insufficiency ... - Differential ... SCVMCMed #Adrenal #Insufficiency ... #AI #Differential ... Algorithm #Causes #endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Secondary Adrenal Insufficiency ... Pathophysiology Primary AI ... Secondary AI = the ... Secondary #Adrenal #Insufficiency ... Pathophysiology #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... specificity for AI ... Step 3) Differentiate ... ) #Adrenal #Insufficiency ... #Stimulation #Endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... - Differential ... Primary Adrenal Insufficiency ... #Differential # ... Workup #Algorithm #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Primary Adrenal Insufficiency ... In secondary AI ... diagnostic of AI ... Diagnosis #Management #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... Primary adrenal insufficiency ... #Differential # ... Diagnosis #Algorithm #endocrinology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Causes of Adrenal Insufficiency ... Causes #Adrenal #Insufficiency ... #AI #differential ... #diagnosis #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 ... Cardiac Failure) • Sepsis ... Hypopituitarism • Adrenal Insufficiency ... Hypoglycemia #LowGlucose #Differential ... Diagnosis #Algorithm #endocrinology