32 results
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
6-8AM Cortisol Level ... morning cortisol levels ... - Levels > 15 ... Step 3) Differentiate ... #Stimulation #Endocrinology
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
) - Simplified Differential ... Endogenous • ACTH-dependent ... : - ACTH-secreting ... Cushings #syndrome #Differential ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Baseline plasma ACTH ... High baseline ACTH ... Insufficiency #Differential ... Diagnosis #Algorithm #endocrinology
Hypocalcemia Laboratory Evaluation

Serum levels of PTH, phosphorus, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D can help differentiate between
Evaluation Serum levels ... dihydroxyvitamin D can help differentiate ... Hypocalcemia #Laboratory #Levels ... Hyperparathyroidism #Diagnosis #Endocrinology ... #Differential
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Insufficiency - Differential ... apoplexy • Isolated ACTH-deficiency ... Insufficiency #Differential ... Workup #Algorithm #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - Differential ... Diagnosis Algorithm ACTH-Dependent ... Hypothalamic Dysfunction ACTH-Independent ... Insufficiency #AI #Differential ... Algorithm #Causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
high globulin levels ... pregnancy) Test 2: ACTH ... Diagnosis #Algorithm #endocrinology
Hypoglycemia Differential Diagnosis and Workup Algorithm
Firstly check if it is true (Whipple's triad).
After that, check labs
Hypoglycemia Differential ... insulin, proinsulin, pepC ... #Hypoglycemia #Differential ... Workup #Algorithm #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Adrenal Mass - Differential ... Hyperplasia • ACTH ... Dependent • ACTH ... AdrenalMass #Benign #Differential ... Diagnosis #Algorithm #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
is absent (low ACTH ... and a cortisol level ... ACTH STIM TEST: ... minutes Cortisol level ... Diagnosis #Management #Endocrinology