7 results
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... ordered is the 21-hydroxylase ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Congenital Adrenal Hyperplasia - 21-Hydroxylase Deficiency - Signs and Symptoms
 • Brain: Androgenization effects, Glucocorticoid effects,
Hyperplasia - 21-Hydroxylase ... Deficiency - Signs ... bone density, Adult ... #Symptoms #diagnosis ... #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Autoimmune: + 21-Hydroxylase ... Serum DHEAS Diagnosis ... present - ACTH stimulation ... addisons #disease #endocrinology ... #diagnosis #signs
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... require Cosyntropin testing ... : Cosyntropin Stimulation ... #ACTH #Stimulation ... #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