34 results
CLINICAL MANIFESTATIONS 
OF ADRENAL INSUFFICIENCY. 

Primary and secondary adrenal insufficiency:
 - Tiredness, weakness, mental depression
Primary and secondary ... hypotension - Nausea ... eosinophilia Primary ... nervous system symptoms ... axillary and pubic hair
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... - Differential Diagnosis ... ultrasound, Tests ... Duplex Doppler ultrasound ... ; MRA; abdominal
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... /vomiting • Abdominal ... axillary or pubic hair ... Serum DHEAS Diagnosis ... endocrinology #diagnosis
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary Primary ... ketoconazole, etomidate) Symptoms ... ) w/ anorexia, abdominal ... Causes of Secondary ... #Secondary #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... of primary OR secondary ... unclear (often the case ... or secondary AI ... AI - Low = secondary
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Common causes of ... - Differential Diagnosis ... Disease process primarily ... nephropathy • Secondary ... Interstitial Nephritis (AIN
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Weakness, fatigue, nausea ... volume depletion, abdominal ... baseline ACTH - Primary ... baseline ACTH - Secondary
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... - Differential Diagnosis ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... Insufficiency #AI
Adrenal Crisis
Do not confuse acute adrenal crisis with Addison disease. In 1855, Thomas Addison described a
hyperpigmentation as the primary ... symptoms. ... with vomiting, abdominal ... of primary adrenal ... hydrocortisonr #ACTH #AI
Congenital Adrenal Hyperplasia - 21-Hydroxylase Deficiency - Signs and Symptoms
 • Brain: Androgenization effects, Glucocorticoid effects,
Deficiency - Signs and Symptoms ... Early puberty, Secondary ... , Male-pattern hair ... Deficiency #Signs #Symptoms ... #diagnosis #endocrinology