18 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... , only seen in PRIMARY ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Standard Stim test ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... Insufficiency: • ACTH stimulation ... autoimmune-mediated primary ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... hormone (ACTH) stimulation ... test AND • Baseline ... baseline ACTH - Primary ... #Algorithm #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... Serum DHEAS Diagnosis ... present - ACTH stimulation ... addisons #disease #endocrinology ... #diagnosis #signs
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... : Cosyntropin Stimulation ... Differentiate primary ... #ACTH #Stimulation ... #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 hypoadrenalism (Addison’s disease) – symptoms, signs

#Diagnosis #Hypoadrenalism #Addisons #Disease #Hypoadrenalism #Signs #Symptoms

** GrepMed Recommended Text:
Primary hypoadrenalism ... #Diagnosis # ... Hypoadrenalism #Signs ... GrepMed Recommended Text ... Basic and Clinical Endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... Zona Glomerulosa: Primary ... dexamethasone test ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
- Differential Diagnosis ... Pregnancy, Breast Stimulation ... + High TSH • Primary ... #Differential #Diagnosis ... #Algorithm #Endocrinology