21 results
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Hirsutism & Virilization ... Diagnosis Algorithm ADRENAL ... • Congenital Adrenal ... Diagnosis #Algorithm #endocrinology ... #causes
Hirsutism - Differential Diagnosis
Defined as excessive dark, coarse, male-pattern hair growth
Hirsutism causes in premenopausal women:
 •
causes in premenopausal ... Rare: Cushing's Syndrome ... causes in post-menopausal ... Androgen-secreting tumors: Adrenal ... Differential #Diagnosis #endocrinology
Hirsutism - Differential Diagnosis Algorithm
RAPID ONSET
Medications
 • Steroids
 • Danazol
 • Progestin Containing Contraceptives
Increased Serum Testosterone
Hirsutism - Differential ... Serum DHEAS • Adrenal ... -OH Congenital Adrenal ... Diagnosis #Algorithm #endocrinology ... #causes
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Weakness, fatigue, nausea ... hyperpigmentation, hypoglycemia ... baseline ACTH - Secondary ... Diagnosis #Algorithm #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... ACTH-Dependent (Secondary ... Polyglandular Autoimmune Syndrome ... Diagnosis #Algorithm #Causes ... #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Cushing's Syndrome ... of the face • Hirsutism ... • Acne • If secondary ... the abdomen for adrenal ... signs #symptoms #endocrinology
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings
Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
enzyme 21-OHase causes ... 21-OHD in the adrenal ... Hyperkalemia, Hypoglycemia ... urine output • Hirsutism ... pathophysiology #genetics #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Adrenalitis Other causes ... Causes of Secondary ... hypophysitis, Sheehan's syndrome ... Diagnosis #Management #Endocrinology
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
• Congenital Adrenal ... Panhypopituitarism Treatment ... Celiac, IBD) • Renal ... Diagnosis #Algorithm #endocrinology ... #causes #pediatrics
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Ultrasound • Adrenal ... Klinefelter's Syndrome ... • Non-Tumor Secondary ... Diagnosis #Algorithm #causes ... #endocrinology