7 results
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Differentiate primary ... . problem with pituitary ... #Diagnosis #ACTH ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis ... Algorithm - Evaluation ... 250 mcg of IV Cosyntropin ... #Algorithm #ACTH ... Stimulation #Test #Endocrinology
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
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
skin (due to high ACTH ... , only seen in PRIMARY ... , proceed with cosyntropin ... #Algorithm #Cosyntropin ... Stimulation #StimTest #Endocrinology
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
- Differential Diagnosis ... Algorithm Adenoma ... - Primary Anterior ... • GH • ACTH ... #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
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary Primary ... pan-hypopituitarism including: pituitary ... Give 250 mcg of cosyntropin ... Insufficiency #Primary ... #Management #Endocrinology