262 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Primary Adrenal Insufficiency ... primary adrenal insufficiency ... ACTH-deficiency • Combined pituitary ... #Adrenal #Insufficiency
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal Insufficiency ... - Central: • Pituitary ... 2LmUODZ #Adrenal #Insufficiency
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal Insufficiency ... Secondary): • Pituitary ... SCVMCMed #Adrenal #Insufficiency
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Secondary Adrenal Insufficiency ... Secondary AI = the pituitary ... Secondary #Adrenal #Insufficiency
Reversible Neurocognitive Disorders (Reversible Causes of "Dementia")
 • Structural/Mass: Subdural Hematoma, NPH, Intracranial tumor
 • Infection:
hyperparathyroidism, Pituitary ... insufficiency,
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
• Diabetes • Pituitary ... Insufficiency ... • Adrenal Insufficiency
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... Secondary Adrenal Insufficiency ... hypothalamus or pituitary ... deficiency (from the pituitary
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Primary Adrenal Insufficiency ... Secondary Adrenal Insufficiency ... pan-hypopituitarism including: pituitary ... AnnKumfer #Adrenal #Insufficiency
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... . problem with pituitary ... ) #Adrenal #Insufficiency
Common organ involvements and symptoms in Sarcoidosis
Lung 89-99% - Cough, dyspnoea, wheezing and stridor
Skin 16-32% -
(for example, pituitary ... insufficiency),