19 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Algorithm Primary ... Adrenal Insufficiency ... #Adrenal #Insufficiency ... #Algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... insufficiency ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... #Insufficiency ... #Testing #Algorithm ... #Stimulation #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... Diagnosis Algorithm ... findings (see algorithm ... #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... #Insufficiency ... #Diagnosis #Algorithm ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - ... Differential Diagnosis Algorithm ... #Insufficiency ... Differential #Diagnosis #Algorithm ... #Causes #endocrinology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... hypothyroidism • adrenal ... insufficiency ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... #Insufficiency ... #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
Legionnaire's Disease - Extrapulmonary organ involvement: CNS: Mental confusion, encephalopathic, headache. Cardiac: Relative bradycardia. GI: Loose
Renal: Microscopic ... hematuria, renal ... insufficiency # ... Legionnaires #Legionella #Algorithm
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: ... insufficiency. ... Insufficiency: ... diagnosis #testing #endocrinology ... #workup