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diagnosis differential adrenal stimulation acth ai workup amenorrhea antiphospholipid cosyntropin evaluation hematology highcalcium hypercalcemia hypercoagulable hypoglycemia hyponatremia hypotonic infectious infectiousdiseases
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... Differential #Diagnosis #Algorithm ... #endocrinology
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
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Differential Diagnosis Algorithm ... Idiopathic Other Causes ... Hypopituitarism • Adrenal Insufficiency ... #endocrinology ... #causes
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... Differential Diagnosis Algorithm ... SCVMCMed #Adrenal #Insufficiency ... #Causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Stimulation #Test #Endocrinology
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Differential Diagnosis Algorithm ... Hyperprolactinemia Organic Cause ... • Weight Loss, Eating ... #endocrinology ... #causes
Infectious Causes of Adrenal Insufficiency Anatomical distribution of vessels to the adrenal makes the gland prone to
Infectious Causes ... of Adrenal Insufficiency ... hemorrhage in the setting ... #Infectious #Causes ... differential #diagnosis #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... require Cosyntropin testing ... #Algorithm #Diagnosis ... #Stimulation #Endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Differential Diagnosis Algorithm ... Hypercalcemia (in the setting ... Immobilization • Adrenal Insufficiency ... Differential #Diagnosis #Algorithm ... #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... aldosterone - Low in cases ... primary adrenal insufficiency ... laboratory #diagnosis #testing ... #endocrinology
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