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The principal endocrine 'axes' and glands. Parathyroid glands, adrenal zona glomerulosa and endocrine pancreas are not
Parathyroid glands, adrenal ... controlled by the pituitary ... Pathways #Diagnosis #Pituitary
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
Adrenal Insufficiency ... Algorithm Primary Adrenal ... Autoimmune primary adrenal ... ACTH-deficiency • Combined pituitary ... Insufficiency #Adrenal
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm Exogenous (ACTH-independent) Endogenous • ACTH-dependent: - ACTH-secreting
ACTH-secreting pituitary ... ACTH-independent: - Adrenal ... hyperplasia - Adrenal
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Intake • Chronic Renal ... Normal/ Low TSH • Pituitary ... Inhibition • Pituitary ... Production • Renal
Primary vs Secondary Adrenal Insufficiency - Pathophysiology Primary AI = adrenal glands themselves are the problem. This
Primary vs Secondary Adrenal ... Pathophysiology Primary AI = adrenal ... Secondary AI = the pituitary ... leads to limited adrenal ... Primary #Secondary #Adrenal
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm Autoimmune: • Isolated • Polyglandular autoimmune syndrome 1 •
Causes of Adrenal ... - Central: • Pituitary ... amzn.to/2LmUODZ #Adrenal
Nipple Discharge - Galactorrhea - Differential Diagnosis Algorithm ↑ TSH - Primary hypothyroidism ↑ ß-HCG - Pregnancy ↑ Creatinine
Creatinine - Chronic renal ... failure MRI of pituitary
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... Secondary): • Pituitary ... Thrombophilia (adrenal ... Medicine @SCVMCMed #Adrenal
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Hormone • MRI of adrenal ... glands, pituitary ... endocrinology #Adrenal
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
• Diabetes • Pituitary ... Insufficiency • Adrenal ... Metabolic • Renal
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