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Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
Diagnosis Workup Algorithm ... Primary Adrenal ... • Autoimmune primary ... or tuberculosis Secondary ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... baseline ACTH - Primary ... baseline ACTH - Secondary ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... AI #Adrenal #Insufficiency ... #Diagnosis #Algorithm ... Stimulation #Test #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
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal Insufficiency ... Differential Diagnosis Algorithm ... ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... #Causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... , only seen in PRIMARY ... findings (see algorithm ... #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... Differentiate primary ... vs secondary AI ... #Stimulation #Endocrinology
Hyperuricemia - Differential Diagnosis Algorithm Primary - Over-production • Increased turnover of nucleotides Primary
Differential Diagnosis Algorithm ... Primary - Over-production ... of nucleotides Primary ... • Starvation Secondary ... #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Differential Diagnosis Algorithm ... Primary Hyperparathyroidism ... long-standing secondary ... Immobilization • Adrenal Insufficiency ... #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
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