16 results
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
- Pathophysiology ... Primary AI = adrenal ... Secondary AI = the ... Insufficiency #Pathophysiology ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... diagnostic of primary ... indicates normal adrenal ... suggests EITHER primary ... Stimulation #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... ACTH-Independent (Primary ... Polyglandular Autoimmune Syndrome ... Insufficiency #AI ... Algorithm #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... specificity for AI ... Differentiate primary ... consistent with primary ... #Stimulation #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Management Summary Primary ... hypophysitis, Sheehan's syndrome ... Insufficiency #Primary ... Diagnosis #Management #Endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... Zona Glomerulosa: Primary ... Fasciculata: Cushing Syndrome ... - Plasma or urinary ... Diagnosis #workup #endocrinology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
vessels to the adrenal ... risk for either primary ... Waterhouse-Friderichsen syndrome ... Insufficiency #AI ... differential #diagnosis #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... AI present - ... IF < 18 ug/dL Primary ... AI present - ... addisons #disease #endocrinology
Adrenal Crisis
Do not confuse acute adrenal crisis with Addison disease. In 1855, Thomas Addison described a
Adrenal Crisis ... Addison described a syndrome ... hyperpigmentation as the primary ... common cause of primary ... hydrocortisonr #ACTH #AI
Causes of Hypercalcemia
Parathyroid hormone–dependent
Primary hyperparathyroidism
Familial hypocalciuric hypercalcemia
Lithium-associated
Tertiary hyperparathyroidism
Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
hormone–dependent Primary ... Other humoral syndromes ... disease - Williams syndrome ... thyrotoxicosis, adrenal ... Differential #Diagnosis #Endocrinology