34 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... , hypoglycemia Testing ... - Adrenal insufficiency ... likely: • High ... • Low or normal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... : - High = primary ... AI - Low = secondary
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... require Cosyntropin testing ... - Low ACTH is ... pituitary gland) - High
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - ... ACTH-Dependent ... Polyglandular Autoimmune Syndrome ... Disseminated Fungal, HIV ... #Insufficiency
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Beer Potomania - Low ... Responds briskly to IV ... Treat with a high ... insufficiency, ... #causes #nephrology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal ... Insufficiency - ... • Fungal • HIV ... adrenomyeloneuropathy ACTH ... #Insufficiency
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses ... • HTN, High Aldosterone ... Differential #Diagnosis #Algorithm ... #nephrology
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Differential Diagnosis Algorithm ... Hypertensive: • High ... , Congenital Adrenal ... Differential #Diagnosis #Algorithm ... #nephrology #causes
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Differential Diagnosis Algorithm ... aldosteronism Low ... Licorice • Liddle's Syndrome ... MetabolicAlkalosis #NonGap #Nephrology ... Differential #Diagnosis #Algorithm
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Cirrhosis, Nephrotic syndrome ... Hypothyroidism, Adrenal ... insufficiency, ... Primary polydipsia, Low ... diagnosis #sodium #nephrology