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diagnosis adrenal differential causes stimulation ai cosyntropin hyponatremia nephrology secondary sodium workup addisons avs cva disease evaluation highcalcium hints hyperaldosteronism
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... - Primary adrenal ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
Diagnosis Workup Algorithm ... Primary Adrenal ... • Autoimmune primary ... apoplexy • Isolated ACTH-deficiency ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... #Diagnosis #Algorithm ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... require Cosyntropin testing ... Differentiate primary ... #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal Insufficiency ... Differential Diagnosis Algorithm ... ACTH-Dependent ... (Primary): • Autoimmune ... #Causes #endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology Primary AI = adrenal glands themselves are the problem. This
Adrenal Insufficiency ... be low, while ACTH ... Low ACTH leads to ... Secondary #Adrenal #Insufficiency ... Pathophysiology #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... skin (due to high ACTH ... , only seen in PRIMARY ... findings (see algorithm ... Stimulation #StimTest #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... Insufficiency: ... autoimmune-mediated primary ... laboratory #diagnosis #testing ... #endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Insufficiency Addison's ... Causes of Adrenal Insufficiency ... ovarian insufficiency ... Symptoms/physical exam ... addisons #disease #endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm ... #Stimulation #endocrinology
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