17 results
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... ACTH-Dependent (Secondary ... Hemochromatosis • Other: Surgery ... Insufficiency #AI ... #Causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... based on repeat clinic ... multi-drug resistance) Renal ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... orthostatic or frank hypotension ... In secondary AI ... Causes of Secondary ... Diagnosis #Management #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Clinical suspicion ... Weakness, fatigue, nausea ... abdominal pain, hypotension ... baseline ACTH - Secondary ... #endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... 109 mm Hg) with clinical ... Vasculitis • Endocrinologic ... apnea: CPAP, most pts ... Jcortesizaguirr #Secondary
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
setting of Gastric Surgery ... : • Critical Illness ... Hypopituitarism • Adrenal ... #endocrinology ... #causes
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
pheochromocytomas are extra-adrenal ... malignant, pediatric cases ... , and, rarely, secondary ... of anesthesia, surgery ... management and then surgery
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
Differential Diagnosis Algorithm ... • Congenital Adrenal ... Panhypopituitarism Treatment ... #endocrinology ... #causes #pediatrics
Adrenal Insufficiency Treatment - Stress Dose Steroids
 • Large Bore IVs, ~2L IVF & Draw workup
Treatment - Stress ... , fever, minor surgery ... Major Stressor (critical ... Insufficiency #AI ... StressDose #Steroids #endocrinology