11 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
skin (due to high ACTH ... stimulation test ... interact with stim test ... #Algorithm #Cosyntropin ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Step 1) Screening Test ... : Cosyntropin Stimulation ... #ACTH #Stimulation ... #Endocrinology
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
Algorithm for the diagnosis ... of adrenal insufficiency ... stimulation test ... the first-line test ... #Endo #ACTH #Cosyntropin
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Standard Stim test ... 250 mcg of IV Cosyntropin ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... stimulation test ... stimulation test ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... ) stimulation test ... High baseline ACTH ... #Differential #Diagnosis ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... 2: ACTH Stimulation ... #Algorithm #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Serum DHEAS Diagnosis ... stimulation test ... test is affected ... addisons #disease #endocrinology ... #diagnosis #signs
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
is absent (low ACTH ... A STIM test can ... ACTH STIM TEST: ... Give 250 mcg of cosyntropin ... #Management #Endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... dexamethasone suppression test ... the abdomen for adrenal ... #signs #symptoms ... #endocrinology