13 results
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
syndrome) - Simplified ... ACTH-independent: - Adrenal ... hyperplasia - Adrenal ... #syndrome #Differential ... Diagnosis #Algorithm #endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Insufficiency - Pathophysiology ... Primary AI = adrenal ... Secondary AI = the ... Insufficiency #Pathophysiology ... #endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... syndrome (central ... Hormone • MRI of adrenal ... #algorithm #endocrinology ... #Adrenal #Hyperfunction
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Diagnosis Algorithm ADRENAL ... Hyperthecosis • Tumor Adrenal ... • Congenital Adrenal ... Hyperplasia • Cushing's ... Diagnosis #Algorithm #endocrinology
Hirsutism - Differential Diagnosis Algorithm
RAPID ONSET
Medications
 • Steroids
 • Danazol
 • Progestin Containing Contraceptives
Increased Serum Testosterone
Serum DHEAS • Adrenal ... Polycystic Ovarian Syndrome ... • Cushing's Syndrome ... -OH Congenital Adrenal ... Diagnosis #Algorithm #endocrinology
Hirsutism - Differential Diagnosis
Defined as excessive dark, coarse, male-pattern hair growth
Hirsutism causes in premenopausal women:
 •
Syndrome, Acromegaly ... Androgen-secreting tumors: Adrenal ... , Ovary • Cushing's ... Syndrome, Acromegaly ... Differential #Diagnosis #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Polyglandular Autoimmune Syndrome ... Thrombophilia (adrenal ... Insufficiency #AI ... Algorithm #Causes #endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... Zona Fasciculata: Cushing ... Syndrome? ... evaluation • Adrenal ... Diagnosis #workup #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Summary Primary Adrenal ... In secondary AI ... hypophysitis, Sheehan's syndrome ... Diagnosis #Management #Endocrinology
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
• Turner Syndrome ... Endrocrine • Cushing's ... • Congenital Adrenal ... Celiac, IBD) • Renal ... Diagnosis #Algorithm #endocrinology