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diagnosis adrenal insufficiency acromegaly ai amenorrhea arrhythmias breast cardiology discharge evaluation hyperthyroidism hypoglycemia laboratory lowglucose management pathophysiology pituitary sellarmass signs
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ) stimulation test ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Step 3) Differentiate ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... #ACTH #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 ... Diagnosis Algorithm ... ACTH-Dependent ... #Causes #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... aldosterone - Low in cases ... stimulation test ... laboratory #diagnosis #testing ... #endocrinology
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Breast Discharge - Differential ... Diagnosis Algorithm ... Pregnancy, Breast Stimulation ... #Endocrinology ... #Causes
Sellar / Pituitary Mass - Differential Diagnosis Algorithm Adenoma - Primary Anterior Pituitary - Secreting
Pituitary Mass - Differential ... Diagnosis Algorithm ... • GH • ACTH ... #endocrinology ... #causes
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Amenorrhea - Differential ... Diagnosis Algorithm ... • Weight Loss, Eating ... #endocrinology ... #causes
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... Pointes if in a setting ... #Diagnosis #Algorithm ... #causes
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Hypoglycemia - Differential ... Diagnosis Algorithm ... Idiopathic Other Causes ... #endocrinology ... #causes
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