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

Early am cortisol < 3
Adrenal Insufficiency ... Stim test is 250 mcg ... of IV Cosyntropin ... #Adrenal #Insufficiency ... Stimulation #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... Step 3) Differentiate ... #Insufficiency ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... , only seen in PRIMARY ... adrenal insufficiency ... , proceed with cosyntropin ... #StimTest #Endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Primary Adrenal ... adrenal insufficiency ... #Adrenal #Insufficiency ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - ... Differential Diagnosis ... ACTH-Independent (Primary ... #AI #Differential ... #Causes #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Adrenal Insufficiency ... Give 250 mcg of ... cosyntropin 3. ... Diagnosis #Management #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Algorithm Clinical ... baseline ACTH - Primary ... adrenal insufficiency ... #Algorithm #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... AI present - ... AI present - ... #adrenal #insufficiency ... addisons #disease #endocrinology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Insufficiency ... risk for either primary ... #Insufficiency ... #AI #differential ... #diagnosis #endocrinology
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
Diagnosis Algorithm ... Heme malig (AML, CML ... bartonella) • Rheum/AI ... Eosinophilic pneumonia, Adrenal ... insufficiency,