34 results
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Benign Adrenal Mass ... • Congenital Adrenal ... Dexamethasone Suppression Test ... • Other #AdrenalMass ... #Endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Differential Diagnosis Workup ... Algorithm Primary ... Differential #Diagnosis #Workup ... #Algorithm #endocrinology
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Differential Diagnosis Algorithm ... Dexamethasone Suppression Test ... Carcinoma #AdrenalMass ... Differential #Diagnosis #Algorithm ... #Endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... BCM_InternalMed #Adrenal ... #Stimulation #endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... dexamethasone suppression test ... Hormone • MRI of adrenal ... #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... findings (see algorithm ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... #endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... Check pregnancy test ... affects diagnostic workup ... Hyperthyroid #Diagnosis #Algorithm ... #Workup #Endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... dexamethasone test ... evaluation • Adrenal ... Evaluation #Diagnosis #workup ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm ... #endocrinology