61 results
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Primary vs Secondary ... Pathophysiology Primary ... be low, while ACTH ... Low ACTH leads to ... Pathophysiology #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Axis Response to ACTH ... diagnostic of primary ... OR secondary AI ... or secondary AI ... Stimulation #Test #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Baseline plasma ACTH ... High baseline ACTH ... - Primary adrenal ... - Secondary adrenal ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Workup Algorithm Primary ... • Autoimmune primary ... or tuberculosis Secondary ... apoplexy • Isolated ACTH-deficiency ... Workup #Algorithm #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Differentiate primary ... vs secondary AI ... consistent with secondary ... consistent with primary ... #Stimulation #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Diagnosis Algorithm ACTH-Dependent ... (Secondary): • ... Hypothalamic Dysfunction ACTH-Independent ... (Primary): • Autoimmune ... Algorithm #Causes #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... autoimmune-mediated primary ... antibody test Secondary ... test - If the secondary ... diagnosis #testing #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Diagnosis and Management ... Summary Primary ... is absent (low ACTH ... Insufficiency #Primary ... #Management #Endocrinology
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Hyperparathyroidism - Primary ... vs Secondary vs ... Comparison: • Primary ... Hyperparathyroidism #diagnosis #endocrinology ... #PTH #Primary #
Aspirin prescribing algorithm for primary and secondary prevention.

Infographic via @thecurbsiders

#Aspirin #Deprescribing #algorithm #indications #management #primary #secondary
algorithm for primary ... and secondary prevention ... #indications #management ... #primary #secondary