31 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... due to high ACTH stimulating ... findings (see algorithm ... around 6-8AM) – if value ... #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Beware of major normal ... value - variation ... ) Test 2: ACTH Stimulation ... #endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... BCM_InternalMed #Adrenal ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... hormone (ACTH) stimulation ... insufficiency • Low or normal ... Differential #Diagnosis #Algorithm ... #endocrinology
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Differential Diagnosis Algorithm ... High Prolactin + Normal ... Pregnancy, Breast Stimulation ... High Prolactin + Normal ... #Endocrinology
Infographic depicting the main pearls of various types of congenital adrenal hyperplasia for the medical student.
of congenital adrenal ... #CAH #algorithm ... CongenitalAdrenalHyperplasia #diagnosis #comparison ... treatment #Peds #Endocrinology ... #Adrenal #pathophysiology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... this indicates normal ... Insufficiency #Diagnosis #Algorithm ... #ACTH #Stimulation ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Test: Cosyntropin Stimulation ... Insufficiency #Algorithm ... Diagnosis #ACTH #Stimulation ... #Endocrinology
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Differential Diagnosis Algorithm ... ADRENAL EXCESS ... Idiopathic Hirsutism - Normal ... Differential #Diagnosis #Algorithm ... #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... aldosterone - Often normal ... chronic lack of stimulation ... diagnosis #testing #endocrinology