15 results
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal Insufficiency ... Secondary): • Pituitary ... Dysfunction • ... Hypothalamic Dysfunction ... #Causes #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Diagnosis Workup Algorithm ... ACTH-deficiency • Combined pituitary ... Diagnosis #Workup #Algorithm ... #endocrinology
Hypopituitarism Differential Diagnosis Algorithm
Suspected hypopituitarism (anterior pituitary)
Symptoms: fatigue, depression, and other endocrine dysfunction

ARUPConsult @ARUPLabs

#Hypopituitarism #Differential #Diagnosis
Differential Diagnosis Algorithm ... hypopituitarism (anterior pituitary ... other endocrine dysfunction ... Differential #Diagnosis #Algorithm ... #Pituitary #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal Insufficiency ... Differential Diagnosis Algorithm ... - Central: • Pituitary ... dysfunction • ... Hypothalamic dysfunction
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm ... #Stimulation #endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... adrenal glands, pituitary ... Syndrome #diagnosis #algorithm ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... , hypoglycemia Testing ... Differential #Diagnosis #Algorithm ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

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

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
secretion because the dysfunctional ... hypothalamus or pituitary ... deficiency (from the pituitary ... laboratory #diagnosis #testing ... #endocrinology