9 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Stim test is 250 mcg ... #Adrenal #Insufficiency ... #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - ... Differential Diagnosis ... Algorithm ACTH-Dependent ... #AI #Differential ... #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... Step 3) Differentiate ... #Insufficiency ... #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... Algorithm Clinical ... #Differential #Diagnosis ... #Algorithm #endocrinology
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
Eosinophilia - Differential ... Diagnosis Algorithm ... bartonella) • Rheum/AI ... pneumonia, Adrenal ... insufficiency,
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... - Differential ... apoplexy • Isolated ACTH-deficiency ... #Adrenal #Insufficiency ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... Diagnosis Algorithm ... skin (due to high ACTH ... hyperkalemia, eosinophilia ... Stimulation #StimTest #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
glucose • ↑ Eosinophils ... /dL -> Primary AI ... Administer 250 mcg ... ug/dL Primary AI ... addisons #disease #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... is absent (low ACTH ... ACTH STIM TEST: ... Give 250 mcg of ... Diagnosis #Management #Endocrinology