12 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
- Differential ... Diagnosis Workup ... apoplexy • Isolated ACTH-deficiency ... Diagnosis #Workup ... #Algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... ) stimulation test ... Diagnosis #Algorithm ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... Step 3) Differentiate ... #Algorithm #Diagnosis ... #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... adrenal insufficiency ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Standard Stim test ... #Diagnosis #Algorithm ... #Test #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Diagnosis Algorithm ... Test 1: Baseline ... 2: ACTH Stimulation ... #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... skin (due to high ACTH ... interact with stim test ... #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
- Differential ... Diagnosis Algorithm ... ACTH-Dependent ... #Diagnosis #Algorithm ... #Causes #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Diagnosis Algorithm ... Dependent • ACTH ... Dexamethasone Suppression Test ... #Diagnosis #Algorithm ... #Endocrinology
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Diagnosis Algorithm ... Insufficient Sleep ... Shift Work) Sleep ... Parkinson's, MS) ... #Diagnosis #Algorithm