11 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
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
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
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
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
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
Eosinophilia - Differential ... Heme malig (AML, CML ... bartonella) • Rheum/AI ... Eosinophilic pneumonia, Adrenal ... insufficiency,
Adrenal Insufficiency Treatment - Stress Dose Steroids
 • Large Bore IVs, ~2L IVF & Draw workup
Adrenal Insufficiency ... Insufficiency before ... #AI #Treatment # ... Management #StressDose ... #Steroids #endocrinology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Framework and Management ... declines > ALT) • AKI ... + myoglobin AKI ... causes #treatment #nephrology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... oliguria (< 0.5 mL ... meds • Other: AI ... Classification #diagnosis #management ... #criticalcare #differential