6042 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... - Differential Diagnosis ... Algorithm Primary Adrenal ... ACTH-deficiency • Combined pituitary ... #Differential #Diagnosis
The principal endocrine 'axes' and glands. Parathyroid glands, adrenal zona glomerulosa and endocrine pancreas are not
Parathyroid glands, adrenal ... controlled by the pituitary ... Pathophysiology #Pathways #Diagnosis ... #Pituitary #Axis
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Simplified Differential Diagnosis ... ACTH-secreting pituitary ... ACTH-independent: - Adrenal ... hyperplasia - Adrenal ... #Differential #Diagnosis
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... - Differential Diagnosis ... Secondary): • Pituitary ... Thrombophilia (adrenal ... #Differential #Diagnosis
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal ... - Differential Diagnosis ... - Central: • Pituitary ... amzn.to/2LmUODZ #Adrenal ... #Differential #Diagnosis
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Hormone • MRI of adrenal ... glands, pituitary ... Cushing #Syndrome #diagnosis ... endocrinology #Adrenal
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... dysfunctional adrenal ... hypothalamus or pituitary ... deficiency (from the pituitary ... Evaluation #laboratory #diagnosis
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... lower, you have diagnosed ... . problem with pituitary ... gland) #Adrenal ... Insufficiency #Algorithm #Diagnosis
Congenital Adrenal Hyperplasia - 21-Hydroxylase Deficiency - Signs and Symptoms
 • Brain: Androgenization effects, Glucocorticoid effects,
Congenital Adrenal ... • Hypothalamic–Pituitary ... resistance • Adrenal ... subfertility, Adrenal ... Signs #Symptoms #diagnosis
Specific considerations for the elderly undergoing steroid treatment
Corticosteroid Adverse Effects - More frequent and/or severe among
- Hypothalamic-pituitary-adrenal ... SideEffects #Geriatrics #Diagnosis