23 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... aldosterone - Low in cases ... primary adrenal insufficiency ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary ... : Most Common Cause ... A STIM test can ... ACTH STIM TEST: ... #Management #Endocrinology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Infectious Causes ... of Adrenal Insufficiency ... #differential #diagnosis ... #endocrinology ... #infectiousdiseases
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... Serum DHEAS Diagnosis ... addisons #disease #endocrinology ... #diagnosis #signs
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - ... require Cosyntropin testing ... ) #Adrenal #Insufficiency ... #Stimulation #Endocrinology
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
- Differential Diagnosis ... Idiopathic Other Causes ... Hypopituitarism • Adrenal Insufficiency ... #Algorithm #endocrinology ... #causes
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... Non-invasive testing ... endoscopy • Insufficient ... change medical management ... Evaluation #workup #diagnosis
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
and Management ... susceptibility testing ... the preferred test ... the workup • Test ... #InfectiousDiseases