13 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... musculoskeletal pain, dizziness ... High baseline ACTH ... #Differential # ... Diagnosis #Algorithm #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 Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Axis Response to ACTH ... Measure ACTH: ... #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 ... Diagnosis Algorithm ACTH-Dependent ... #AI #Differential ... Algorithm #Causes #endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Pathophysiology Primary AI ... be low, while ACTH ... Secondary AI = the ... Low ACTH leads to ... Pathophysiology #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... - Differential ... apoplexy • Isolated ACTH-deficiency ... #Differential # ... Workup #Algorithm #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... is absent (low ACTH ... ACTH STIM TEST: ... baseline cortisol and ACTH ... Diagnosis #Management #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal Insufficiency ... Salt craving • Dizziness ... /dL -> Primary AI ... ug/dL Primary AI ... addisons #disease #endocrinology
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
Etiologies of Peripheral ... • Inflammatory/AI ... : CIDP, Guillain-Barre ... @uncimchiefs #Peripheral ... #Neuropathy #differential
Dizziness - Differential Diagnosis Framework
Vertigo:
 • Peripheral: Labyrinthitis, BPPV, Meniere's disease, Alternobaric
 • Central: CVA/TIA -
Dizziness - Differential ... Framework Vertigo: • Peripheral ... Vertebrobasilar artery insufficiency ... Chiefs @jmcchiefs #Dizziness ... #Differential #