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

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Early am cortisol ... unclear (often the case ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... ACTH-Dependent ... Polyglandular Autoimmune Syndrome ... Insufficiency #AI ... #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Cortisol Level - Early ... specificity for AI ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Hypercortisolism (Cushing syndrome ... Differential Diagnosis Algorithm ... Hypercortisolism #Cushings #syndrome ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Adrenalitis Other causes ... is absent (low ACTH ... hypophysitis, Sheehan's syndrome ... Diagnosis #Management #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... /dL -> Primary AI ... ug/dL Primary AI ... addisons #disease #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... High baseline ACTH ... Differential #Diagnosis #Algorithm ... #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Differential Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... Feminization, Early ... #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal ... Differential Diagnosis Algorithm ... Polyglandular autoimmune syndrome ... adrenomyeloneuropathy ACTH ... #Causes
Tall Stature - Differential Diagnosis Algorithm

Normal Growth (BA=CA)
 • Familial Tall Stature
 • XYY Syndrome
Obese BMI
Differential Diagnosis Algorithm ... Tall Stature (Early ... Differential #Diagnosis #Algorithm ... #endocrinology ... #causes