27 results
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Hirsutism & Virilization ... - Differential ... • Congenital Adrenal ... #Virilization #Differential ... Diagnosis #Algorithm #endocrinology
Hirsutism - Differential Diagnosis Algorithm
RAPID ONSET
Medications
 • Steroids
 • Danazol
 • Progestin Containing Contraceptives
Increased Serum Testosterone
Hirsutism - Differential ... Serum DHEAS • Adrenal ... -OH Congenital Adrenal ... #Differential # ... Diagnosis #Algorithm #endocrinology
Hirsutism - Differential Diagnosis
Defined as excessive dark, coarse, male-pattern hair growth
Hirsutism causes in premenopausal women:
 •
Hirsutism - Differential ... Rare: Cushing's Syndrome ... Androgen-secreting tumors: Adrenal ... #Differential # ... Diagnosis #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - Differential ... Polyglandular Autoimmune Syndrome ... Insufficiency #AI ... #Differential # ... Algorithm #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... specificity for AI ... > 15 excludes AI ... Step 3) Differentiate ... #Stimulation #Endocrinology
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Hypercortisolism (Cushing syndrome ... ) - Simplified Differential ... hyperplasia - Adrenal ... #Differential # ... Diagnosis #Algorithm #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Benign Adrenal Mass ... - Differential ... • Congenital Adrenal ... Virilization / Hirsutism ... Diagnosis #Algorithm #Endocrinology
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Mass - Differential ... Virilization/ Hirsutism ... Polycystic Ovarian Syndrome ... AdrenalMass #Malignant #Differential ... Diagnosis #Algorithm #Endocrinology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
vessels to the adrenal ... Waterhouse-Friderichsen syndrome ... Insufficiency #AI ... #differential # ... diagnosis #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Summary Primary Adrenal ... In secondary AI ... hypophysitis, Sheehan's syndrome ... Diagnosis #Management #Endocrinology