22 results
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... Differential Diagnosis ... ACTH-Dependent (Secondary ... Fungal, HIV/AIDS • Hemorrhagic
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Most Common Cause ... inhibitors, bilateral hemorrhage ... Causes of Secondary ... Adrenal Insufficiency
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... Weakness, fatigue, nausea ... baseline ACTH - Secondary ... adrenal insufficiency
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal ... Insufficiency - ... Differential Diagnosis ... • HIV/AIDS Hemorrhagic ... #Insufficiency
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... of primary OR secondary ... unclear (often the case ... #Insufficiency
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
of Adrenal Insufficiency ... : Most Common Causes ... Hemorrhage: • ... Serum DHEAS Diagnosis ... endocrinology #diagnosis
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Shock Differential Diagnosis ... oral intake • Hemorrhage ... Anaphylaxis • Adrenal ... insufficiency ... Algorithm #shock #causes
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Noninfectious Causes ... - Intracranial hemorrhage ... storm - Acute adrenal ... insufficiency ... Noninfectious #Causes
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
- Differential Diagnosis ... • Adrenal insufficiency ... Anaphylaxis • Adrenal ... insufficiency ( ... #causes #Hypotensive
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Adrenal Insufficiency ... adrenal insufficiency ... adrenal insufficiency ... adrenal insufficiency ... Evaluation #laboratory #diagnosis