51 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Workup Algorithm Primary ... • Autoimmune primary ... or tuberculosis Secondary ... Workup #Algorithm #endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Primary vs Secondary ... Pathophysiology Primary ... Secondary AI = the ... #Secondary #Adrenal ... Pathophysiology #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... 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,
Adrenal Insufficiency ... baseline ACTH - Primary ... adrenal insufficiency ... baseline ACTH - Secondary ... Diagnosis #Algorithm #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... Thrombophilia (adrenal ... Algorithm #Causes #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
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Diagnosis and Management ... Summary Primary ... Causes of Secondary ... Insufficiency #Primary ... #Management #Endocrinology
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Diagnosis Algorithm Primary ... of nucleotides Primary ... • Starvation Secondary ... High purine diet Secondary ... Diagnosis #Algorithm #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Diagnosis Algorithm Primary ... long-standing secondary ... Renal Failure, Post-Renal ... Immobilization • Adrenal ... Diagnosis #Algorithm #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