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

Early am cortisol < 3
Adrenal Insufficiency ... primary OR secondary AI ... primary or secondary AI ... High = primary AI ... #Adrenal #Insufficiency
Differential Diagnosis in Acute Renal Failure

#Diagnosis #Differential #AKI #Acute #RenalFailure #KidneyInjury #Algorithm #Nephrology

** GrepMed Recommended Text:
Differential Diagnosis ... in Acute Renal ... #AKI #Acute #RenalFailure ... #KidneyInjury # ... Algorithm #Nephrology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Insufficiency - ... Pathophysiology Primary AI ... Secondary AI = the ... #Insufficiency ... Pathophysiology #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - ... Differential Diagnosis ... #Insufficiency ... #AI #Differential ... Algorithm #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
specificity for AI ... > 15 excludes AI ... have diagnosed AI ... Step 3) Differentiate ... primary vs secondary AI
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... In secondary AI ... diagnostic of AI ... least 18 excludes AI ... diagnostic of AI
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... • Reduced GFR, AKI ... Hypothyroidism • Adrenal ... insufficiency ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... • Reduced GFR, AKI ... Hypothyroidism • Adrenal ... insufficiency ... #Hyponatremia #Nephrology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Insufficiency ... vessels to the adrenal ... #Insufficiency ... #AI #differential ... #diagnosis #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Insufficiency: ... /dL -> Primary AI ... Administer 250 mcg ... ug/dL Primary AI ... addisons #disease #endocrinology