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

Early am cortisol < 3
OR secondary AI ... unclear (often the case ... or secondary AI ... AI - Low = secondary ... #ACTH #Stimulation
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... Hemochromatosis • Other: Surgery ... Insufficiency #AI
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 3) Differentiate ... primary vs secondary ... consistent with primary ... Insufficiency #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... Weakness, fatigue, nausea ... hormone (ACTH) stimulation ... baseline ACTH - Primary ... baseline ACTH - Secondary
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Diagnosis Algorithm ... Pregnancy, Breast Stimulation ... , Trauma/Surgery ... + High TSH • Primary ... Endocrinology #Causes
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Diagnosis Primary ... Pathologic fracture secondary ... www.youtube.com/c/ ... #Diagnosis #causes ... #primarycare #table