39 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... Weakness, fatigue, nausea ... insufficiency • Low ... #endocrinology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... Algorithm Instead ... low, uric acid ... and uric acid low ... #Nephrology
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 ... #Causes #endocrinology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Uric Acid - Low ... #nephrology #sodium ... #low #uricacid
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... • Weakness • Low-grade ... • ↓ Serum sodium ... addisons #disease #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... Step 3) Differentiate ... - Low ACTH is ... #Stimulation #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... High DHEAS • Low ... #Endocrinology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
- Differential ... Diagnosis Algorithm ... water loss, Serum Sodium ... mannitol, glucosuria Low ... Hypernatremia #Nephrology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... primary AI - Low ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
Pituitary Mass - Differential ... Diagnosis Algorithm ... • GH • ACTH ... #endocrinology ... #causes