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

Early am cortisol < 3
Diagnosis Algorithm ... Standard Stim test ... is 250 mcg of IV ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... clue • Blood tests ... ACTH stimulation test ... Administer 250 mcg ... present - ACTH test
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... , only seen in PRIMARY ... findings (see algorithm ... cosyntropin stimulation test ... interact with stim test
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... Differentiate primary ... consistent with primary ... Insufficiency #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... ACTH) stimulation test ... baseline ACTH - Primary ... Differential #Diagnosis #Algorithm
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Differential Diagnosis Algorithm ... Primary Hyperparathyroidism ... Renal Failure, Post-Renal ... Immobilization • Adrenal ... Differential #Diagnosis #Algorithm
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
Differential Diagnosis Algorithm ... Deprivation • Primary ... • Congenital Adrenal ... Celiac, IBD) • Renal ... Differential #Diagnosis #Algorithm
Pathologic / Fragility Fractures - Differential Diagnosis Algorithm 
Tumours
 - See Bone Lesions Scheme
Paget's Disease
 -
Differential Diagnosis Algorithm ... Phosphate Deficiency Primary ... Malignancy • Drugs (e.g ... Fractures #Pathologic #MSK ... Differential #Diagnosis #Algorithm
Nipple Discharge - Galactorrhea - Differential Diagnosis Algorithm

↑ TSH - Primary hypothyroidism
↑ ß-HCG - Pregnancy
↑ Creatinine
Differential Diagnosis Algorithm ... ↑ TSH - Primary ... hypothyroidism ↑ ß-HCG ... Creatinine - Chronic renal ... Differential #Diagnosis #Algorithm
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Differential Diagnosis Algorithm ... Pseudohypoaldosteronism, Urinary ... Tubulointerstitial injury: Urinary ... - Drugs that block ... Differential #Diagnosis #Algorithm