21 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... due to high ACTH stimulating ... with cosyntropin stimulation ... #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 ... BCM_InternalMed #Adrenal #Insufficiency ... #Cosyntropin #Stimulation ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... hormone (ACTH) stimulation ... #Differential # ... Diagnosis #Algorithm #endocrinology
An Algorithm for the Evaluation and Management of Adrenal Insufficiency and Crisis

#adrenal #insufficiency #crisis #shock #ddxof
Management of Adrenal Insufficiency ... Crisis #adrenal #insufficiency ... crisis #shock #ddxof ... diagnosis #management #differential
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake
Reduced uptake:
 • Thyroiditis
 • Exogenous
Excess thyroid-stimulating ... hormone stimulation ... radionuclide #uptake #differential ... hyperthyroidism #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 Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... ) Test 2: ACTH Stimulation ... BCM_InternalMed #Adrenal #Insufficiency ... Diagnosis #Algorithm #endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Secondary Adrenal Insufficiency ... limited adrenal stimulation ... Secondary #Adrenal #Insufficiency ... Pathophysiology #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
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... Test: Cosyntropin Stimulation ... Step 3) Differentiate ... ) #Adrenal #Insufficiency ... #Endocrinology