7 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... baseline ACTH - Secondary ... #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
aldosterone - Low in cases ... Secondary Adrenal ... - If the secondary ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... require Cosyntropin testing ... consistent with secondary ... ) #Adrenal #Insufficiency ... #Stimulation #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Causes of Secondary ... A STIM test can ... ACTH STIM TEST: ... #Endocrinology
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... soles in 50% of cases ... with positive testing ... Latent #Tertiary #Diagnosis ... GrepMed Recommended Text
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Acromegaly occurs secondary ... glucose suppression test ... • Pituitary testing ... #Management #Endocrinology ... #Treatment #Pathophysiology