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diagnosis algorithm causes insufficiency hypercalcemia secondary workup stimulation acth adrenalmass ai dermatology evaluation generalized hypertension nephrology pruritus signs symptoms syndrome
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... ultrasound, Tests ... angiography • Primary ... repaired) • Primary ... #Hypertension #Differential
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... ACTH) stimulation test ... baseline ACTH - Primary ... Insufficiency #Differential ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
- Differential ... Workup Algorithm Primary ... • Autoimmune primary ... Insufficiency #Differential ... Workup #Algorithm #endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... Symptoms/physical exam ... clue • Blood tests ... ACTH stimulation test ... addisons #disease #endocrinology
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Adrenal Incidentalomas ... Zona Glomerulosa: Primary ... dexamethasone test ... - Plasma or urinary ... Diagnosis #workup #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... diagnostic of primary ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Step 1) Screening Test ... Step 3) Differentiate ... primary vs secondary ... consistent with primary ... #Stimulation #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... ACTH stimulation test ... autoantibody tests ... autoimmune-mediated primary ... diagnosis #testing #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Adrenal Insufficiency ... , only seen in PRIMARY ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - Differential ... ACTH-Independent (Primary ... Insufficiency #AI #Differential ... Algorithm #Causes #endocrinology
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