701 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... drawn T0: 250 µg cosyntropin ... BCM_InternalMed #Adrenal ... Testing #Algorithm #Cosyntropin
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
the diagnosis of adrenal ... The standard cosyntropin ... evaluation of adrenal ... Diagnosis #Endo #ACTH #Cosyntropin
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... – 15), require Cosyntropin ... determines if the adrenal ... . problem with adrenal ... gland) #Adrenal
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... seen in PRIMARY adrenal ... suggestive of adrenal ... , proceed with cosyntropin ... Diagnosis #Algorithm #Cosyntropin
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... 250 mcg of IV Cosyntropin ... indicates normal adrenal ... tertiary AI #Adrenal
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Summary Primary Adrenal ... Causes of Secondary Adrenal ... Give 250 mcg of cosyntropin ... @AnnKumfer #Adrenal
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
algorithm Decreased renal ... excretion • Acute renal ... • Congenital adrenal ... Addison's/congenital adrenal ... high: • Post-renal
Adrenal Crisis
Do not confuse acute adrenal crisis with Addison disease. In 1855, Thomas Addison described a
Adrenal Crisis ... confuse acute adrenal ... syndrome of long-term adrenal ... contrast, an acute adrenal ... be a cause of adrenal
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... Damage of the adrenal ... aldosterone Causes of Adrenal ... Metastatic Disease -> Adrenals ... melanoma Bilateral Adrenal
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Renal Failure ... Hypovolemic - GI losses, renal ... Hypothyroidism, adrenal