9 results
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Test 1: Baseline ... 2: ACTH Stimulation ... - Cutoffs are ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... Diagnosis Algorithm ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
of adrenal insufficiency ... standard cosyntropin stimulation ... test (CST) may ... the first-line test ... StimulationTest #Algorithm #Cutoffs
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... hormone (ACTH) stimulation ... test AND • Baseline ... #Algorithm #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
• ACTH stimulation ... • ACTH stimulation ... adrenal insufficiency ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - ... though some use a cutoff ... #Insufficiency ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Standard Stim test ... #Insufficiency ... #ACTH #Stimulation ... #Test #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Insufficiency: ... Serum DHEAS Diagnosis ... present - ACTH stimulation ... addisons #disease #endocrinology ... #diagnosis #signs
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