26 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... ) stimulation test ... High baseline ACTH ... Insufficiency #Differential ... Diagnosis #Algorithm #endocrinology
McMurray Test 

#Diagnosis #Sports #McMurray #Test #Knee #Exam #PCL #Knee #ALiEM
McMurray Test ... Diagnosis #Sports #McMurray ... #Test #Knee #Exam
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
) - Simplified Differential ... Endogenous • ACTH-dependent ... : - ACTH-secreting ... Cushings #syndrome #Differential ... Diagnosis #Algorithm #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Step 1) Screening Test ... ) Confirmation Test ... This test determines ... Step 3) Differentiate ... #Stimulation #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... CRH stimulation test ... - Serum tests that ... stimulation test ... diagnosis #testing #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Adrenal Mass - Differential ... Hyperplasia • ACTH ... Dependent • ACTH ... Dexamethasone Suppression Test ... Diagnosis #Algorithm #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Axis Response to ACTH ... Standard Stim test ... secondary AI Measure ACTH ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Symptoms/physical exam ... clue • Blood tests ... stimulation test ... test is affected ... addisons #disease #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Diagnosis Algorithm Test ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Insufficiency - Differential ... apoplexy • Isolated ACTH-deficiency ... Insufficiency #Differential ... Workup #Algorithm #endocrinology