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

Early am cortisol < 3
OR secondary AI ... unclear (often the case ... or secondary AI ... AI - Low = secondary ... #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
(Secondary): • ... (Primary): • Autoimmune ... Polyglandular Autoimmune Syndrome ... Insufficiency #AI ... #Causes #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... - Primary adrenal ... - Secondary adrenal ... #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary Primary ... Hyperkalemia is ... Causes of Secondary ... hypophysitis, Sheehan's syndrome ... #Management #Endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Cushing's Syndrome ... • Acne • If secondary ... not a feature of primary ... Cataracts Labs: Hypokalemia ... signs #symptoms #endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... disorders including hypokalemia ... Vasculitis • Endocrinologic ... Hypothyroidism, Primary ... apnea: CPAP, most pts
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
JVD, Orthopnea/PND ... patient causing hypovolemia ... acute coronary syndrome ... the determined cause ... #differential #algorithm