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

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Axis Response to ACTH ... Early am cortisol ... unclear (often the case ... Insufficiency #Diagnosis #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... Baseline plasma ACTH ... High baseline ACTH ... Differential #Diagnosis #Algorithm
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... Tuberculosis: can cause ... sodium, potassium, AM ... cortisol and ACTH
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Differential Diagnosis Algorithm ... ACTH-Dependent ... Hypothalamic Dysfunction ACTH-Independent ... #Causes #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal ... Differential Diagnosis Algorithm ... adrenomyeloneuropathy ACTH ... Differential #Diagnosis #Algorithm ... #Causes
Push Dose Pressors - Mixing Instructions.

EPINEPHRINE
Has alpha and beta 1/2 effects so it is an inopressor
Do
from the cardiac amp ... (Cardiac amp contains ... #CriticalCare #PushDose ... #Vasopressors #PDPs
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH ... test - Synthetic ACTH ... between 8 and 9 AM ... aldosterone - Low in cases ... between 8 and 9 AM
Causes of Altered Mental Status #Diagnosis #EM #IM #AMS #AlteredMentalStatus #Differential #Algorithm #Ddxof
Causes of Altered ... Diagnosis #EM #IM #AMS ... #Differential #Algorithm
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Insufficiency Diagnosis Algorithm ... Test 1: Baseline AM ... pregnancy) Test 2: ACTH ... Insufficiency #Diagnosis #Algorithm
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
Differential Diagnosis Algorithm ... • GH • ACTH ... Differential #Diagnosis #Algorithm ... endocrinology #causes