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Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Algorithm Clinical ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... #Diagnosis #Algorithm
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: ... aldosterone - Low in cases ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... • Congenital adrenal ... #Differential #Diagnosis ... #Workup #table
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm Autoimmune: • Isolated • Polyglandular autoimmune syndrome 1 •
Causes of Adrenal ... Insufficiency - ... Differential Diagnosis ... • Fungal • HIV ... #Algorithm #Causes
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... Differential Diagnosis ... Disseminated Fungal, HIV ... #Algorithm #Causes
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - ... Algorithm Step ... require Cosyntropin testing ... #Algorithm #Diagnosis
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
- Differential Diagnosis ... Algorithm Fasting ... Hypopituitarism • Adrenal ... Insufficiency ... #causes
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Causes of Fatigue ... Algorithm Endocrine ... • Adrenal Insufficiency ... Hepatitis • HIV ... #Algorithm #causes
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Adrenal Insufficiency ... fungal infection, HIV ... Adrenal Insufficiency ... A STIM test can ... ACTH STIM TEST:
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