15 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... - Evaluation of ... this indicates normal ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... insufficiency • Low or normal ... baseline ACTH - ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Insufficiency Diagnosis Algorithm ... Beware of major normal ... value - variation ... pregnancy) Test 2: ACTH ... #endocrinology
Hypoglycemia - Evaluation Algorithm
Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Hypoglycemia - Evaluation ... Algorithm Interpreting ... Hypoglycemia Labs ... #Algorithm #workup ... #diagnosis #endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Differential Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... Non-Functioning Mass • Normal ... #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Function Tests in the Evaluation ... • Low TSH, Low normal ... Can repeat labs ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... FeCa <1 %) - Low normal ... • If all normal ... differential #diagnosis #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... skin (due to high ACTH ... findings (see algorithm ... around 6-8AM) – if value ... Stimulation #StimTest #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH ... test - Synthetic ACTH ... aldosterone - Often normal ... Insufficiency #Evaluation ... diagnosis #testing #endocrinology
Gynecomastia - Differential Diagnosis a
nd Workup Algorithm
Gynecomastia is common in clinical practice, affecting ~50% of males
Diagnosis a nd Workup Algorithm ... affecting ~50% of males ... Labs: TSH, Cr, LFTs ... Diagnosis #Workup #Algorithm ... #endocrinology