81 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Weakness, fatigue, nausea ... ACTH) stimulation test ... baseline ACTH - Secondary ... Diagnosis #Algorithm #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... CT scan, adrenal ... Acromegaly #Secondary ... #Hypertension #Differential
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - Differential ... ACTH-Dependent (Secondary ... Diagnosis #Algorithm #Causes ... #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... Secondary Adrenal ... - If the secondary ... secretion; in chronic secondary ... diagnosis #testing #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... - Differential ... or tuberculosis Secondary ... Insufficiency #Differential ... Workup #Algorithm #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Symptoms/physical exam ... clue • Blood tests ... ACTH stimulation test ... present - ACTH test ... addisons #disease #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Symptoms and Exam ... Causes of Secondary ... A STIM test can ... ACTH STIM TEST: ... Diagnosis #Management #Endocrinology
Causes of Secondary Amenorrhea - Differential Diagnosis
 • Pregnancy
 • Endocrinopathies: PCOS, Hypothyroidism
 • HPA Dysfunction:
Causes of Secondary ... Amenorrhea - Differential ... #Amenorrhea #Differential ... #Diagnosis #Causes ... #endocrinology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... - Differential ... suggests either secondary ... Hyperaldosteronism • Secondary ... #hypokalemia #differential