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

Early am cortisol < 3
Diagnosis Algorithm ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... , only seen in PRIMARY ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 3) Differentiate ... primary vs secondary ... consistent with primary ... #Stimulation #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - Differential ... Diagnosis Algorithm ... ACTH-Independent (Primary ... #Diagnosis #Algorithm ... #Causes #endocrinology
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Breast Discharge - Differential ... Diagnosis Algorithm ... + High TSH • Primary ... #Diagnosis #Algorithm ... #Endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - Differential ... Diagnosis Algorithm ... or normal): • Primary ... Tumors: Lung, SCC, renal ... #causes #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Benign Adrenal Mass ... - Differential ... Diagnosis Algorithm ... Dexamethasone Suppression Test ... #Endocrinology