91 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Primary Adrenal Insufficiency ... disorder • CAH, tumor ... • Infiltrative tumor ... Workup #Algorithm #endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... cosyntropin given IV ... BCM_InternalMed #Adrenal #Insufficiency ... #Stimulation #endocrinology
Causes of Hypermagnesemia
Increased magnesium load
 - Magnesium-containing laxatives, antacids, or enemas
 - Treatment of pre-edampsia/eclampsia (mothers
Causes of Hypermagnesemia ... untreated) - Tumor ... deficiency, adrenal insufficiency ... Hypermagnesemia #Causes
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Weakness, fatigue, nausea ... Response - Adrenal insufficiency ... Primary adrenal insufficiency ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Adrenalitis Other causes ... Causes of Secondary ... including: pituitary tumor ... Diagnosis #Management #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... SCVMCMed #Adrenal #Insufficiency ... Diagnosis #Algorithm #Causes ... #endocrinology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... Infratentorial Tumors ... Cerebellopontine Angle Tumors ... • Glomus Tumors ... Vertebrobasilar Insufficiency
Reversible Neurocognitive Disorders (Reversible Causes of "Dementia")
 • Structural/Mass: Subdural Hematoma, NPH, Intracranial tumor
 • Infection:
Disorders (Reversible Causes ... , Intracranial tumor ... hyperparathyroidism, Pituitary insufficiency ... differential #diagnosis #causes
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
Rhabdomyolysis • Tumor ... Hyperlipidemia • Tumor ... Diagnosis #Algorithm #endocrinology ... #causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... is 250 mcg of IV ... AI #Adrenal #Insufficiency ... Stimulation #Test #Endocrinology