13 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
due to high ACTH stimulating ... test: Steroids ... interact with stim test ... #Cosyntropin #Stimulation ... #StimTest #Endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... - Cosyntropin Stimulation ... Test T-1m: Baseline ... BCM_InternalMed #Adrenal ... #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... cases in which injury ... production • CRH stimulation ... chronic lack of stimulation ... diagnosis #testing #endocrinology
Structure and function of the Adrenal Glands

#Adrenal #Glands #Function #Hormones #Actions #Pathophysiology #Endocrinology

** GrepMed Recommended Text:
function of the Adrenal ... Glands #Adrenal ... Hormones #Actions #Pathophysiology ... #Endocrinology ... GrepMed Recommended Text
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm Test ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... Diagnosis #Algorithm #endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Insufficiency - Pathophysiology ... Primary AI = adrenal ... stimulation, thus ... Insufficiency #Pathophysiology ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... hormone (ACTH) stimulation ... test AND • Baseline ... ACTH - Primary adrenal ... 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 ... : Cosyntropin Stimulation ... Diagnosis #ACTH #Stimulation ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Standard Stim test ... indicates normal adrenal ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
The principal endocrine 'axes' and glands. Parathyroid glands, adrenal zona glomerulosa and endocrine pancreas are not
Parathyroid glands, adrenal ... abbreviations see text ... Endocrine #Axes #Endocrinology ... #Pathophysiology