15 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... ) stimulation test ... #Algorithm #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
sodium • ↑ Serum potassium ... Serum DHEAS Diagnosis ... Check sodium, potassium ... addisons #disease #endocrinology ... #diagnosis #signs
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... cortisol level should ... Insufficiency #Algorithm ... #Diagnosis #ACTH ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
skin (due to high ACTH ... Hyponatremia, hyperkalemia ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Hyperkalemia Differential Diagnosis Algorithm
R/O Pseudo-hyperkalemia:
 • Possible Lab error! Alwavs Repeat Blood sample!
 • Leukocytosis, Thrombocytosis:
Diagnosis Algorithm ... (rare) *TTKG should ... principal cells should ... #Algorithm #causes ... #potassium #high
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Algorithm - Evaluation ... unclear (often the case ... Standard Stim test ... #Algorithm #ACTH ... #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
- Differential Diagnosis ... Dependent • ACTH ... Dexamethasone Suppression Test ... Hypertension +/- Hypokalemia ... #Algorithm #Endocrinology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... the cause of hypokalemia ... Clinicians should ... #algorithm #causes ... #nephrology #potassium
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... #Differential #Diagnosis ... #Algorithm #nephrology ... #causes #low #potassium
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Hyperkalemia is ... A STIM test can ... ACTH STIM TEST: ... #Management #Endocrinology