22 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 ... Adrenal Insufficiency ... Pathophysiology Primary ... #Insufficiency ... 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 ... AI #Adrenal #Insufficiency ... 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 Insufficiency ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... SCVMCMed #Adrenal #Insufficiency ... Algorithm #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... Differentiate primary ... vs secondary AI ... consistent with primary ... #Stimulation #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary Primary ... hypotension In secondary ... Causes of Secondary ... #Primary #Secondary ... Diagnosis #Management #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
, and dopamine agonists ... high T4 +/- T3 → Primary ... T3 → Central (secondary ... algorithm #diagnosis #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
Muscarinic Receptor Agonists and Antagonists 
Muscarinic Receptor Agonists
Methacholine
 • Diagnosis of bronchial airway
Carbachol
 • Glaucorna (topical
Muscarinic Receptor Agonists ... Muscarinic Receptor Agonists ... neurogenic) • Urinary ... #Medications #Pharmacology ... #Table