11 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Workup Algorithm ... Primary Adrenal ... apoplexy • Isolated ACTH-deficiency ... • Combined pituitary ... #endocrinology
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Algorithm Exogenous ... pituitary adenoma ... : - Adrenal ... hyperplasia - Adrenal ... #Algorithm #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
- Differential Diagnosis ... Algorithm ACTH-Dependent ... Secondary): • Pituitary ... (Primary): • Autoimmune ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... . problem with pituitary ... #Diagnosis #ACTH ... #Stimulation #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... - Primary adrenal ... #Differential #Diagnosis ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Axis Response to ACTH ... #Algorithm #ACTH ... Stimulation #Test #Endocrinology
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
- Differential Diagnosis ... Algorithm Adenoma ... - Primary Anterior ... • GH • ACTH ... #Algorithm #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... autoimmune-mediated primary ... hypothalamus or pituitary ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
- Differential Diagnosis ... Algorithm High ... Inhibition • Pituitary ... + High TSH • Primary ... #Algorithm #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... skin (due to high ACTH ... , only seen in PRIMARY ... findings (see algorithm ... Stimulation #StimTest #Endocrinology