68 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Insufficiency: ... insufficiency ... #Adrenal #Insufficiency ... Workup #Algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... insufficiency ... insufficiency ... #Insufficiency ... Diagnosis #Algorithm #endocrinology
CLINICAL MANIFESTATIONS 
OF ADRENAL INSUFFICIENCY. 

Primary and secondary adrenal insufficiency:
 - Tiredness, weakness, mental depression
MANIFESTATIONS OF ADRENAL ... INSUFFICIENCY. ... and secondary adrenal ... insufficiency: ... visual symptoms - Diabetes
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... BCM_InternalMed #Adrenal ... #Insufficiency ... #Stimulation #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... insufficiency) ... insufficiency; ... if > 18, adrenal ... Stimulation #StimTest #Endocrinology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
GI losses • Renal ... Hypothyroidism • Adrenal ... insufficiency ... polydipsia • Insufficient ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
GI losses • Renal ... Hypothyroidism • Adrenal ... insufficiency ... polydipsia • Insufficient ... #Hyponatremia #Nephrology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Primary vs Secondary Adrenal ... Insufficiency - ... leads to limited adrenal ... #Insufficiency ... Pathophysiology #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... Thrombophilia (adrenal ... #Insufficiency ... Algorithm #Causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... BCM_InternalMed #Adrenal ... #Insufficiency ... Diagnosis #Algorithm #endocrinology