25 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... ) stimulation test ... - Primary adrenal ... Insufficiency #Differential ... Diagnosis #Algorithm #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
/physical exam ... clue • Blood tests ... stimulation test ... test is affected ... addisons #disease #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
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Axis Response to ACTH ... diagnostic of primary ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... stimulation test ... autoimmune-mediated primary ... stimulation test ... diagnosis #testing #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Insufficiency - Differential ... Workup Algorithm Primary ... • Autoimmune primary ... apoplexy • Isolated ACTH-deficiency ... Workup #Algorithm #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - Differential ... Diagnosis Algorithm ACTH-Dependent ... (Primary): • Autoimmune ... Insufficiency #AI #Differential ... Algorithm #Causes #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary Primary ... ketoconazole, etomidate) Symptoms ... and Exam Findings ... ACTH STIM TEST: ... Diagnosis #Management #Endocrinology
Primary hypoadrenalism (Addison’s disease) – symptoms, signs

#Diagnosis #Hypoadrenalism #Addisons #Disease #Hypoadrenalism #Signs #Symptoms

** GrepMed Recommended Text:
Primary hypoadrenalism ... Addison’s disease) – symptoms ... Hypoadrenalism #Signs #Symptoms ... GrepMed Recommended Text ... Basic and Clinical 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