18 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... ) stimulation test ... insufficiency likely: • High ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... Hyperpigmented skin (due to high ... ACTH stimulating ... Hyponatremia, hyperkalemia ... #StimTest #Endocrinology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Causes of Hypokalemia ... Transcellular Shift ... Production - Stimulation ... #causes #potassium ... #low #pathophysiology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Stim test is 250 mcg ... : - High = primary ... AI - Low = secondary ... #ACTH #Stimulation ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... - Low ACTH is ... pituitary gland) - High ... #Stimulation #Endocrinology
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Failure • Stress (e.g ... Pregnancy, Breast Stimulation ... Prolactin + Normal/ Low ... #Endocrinology ... #Causes
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Hyperplasia • ACTH ... Dependent • ACTH ... DHEAS • Low DHEAS ... Hypertension +/- Hypokalemia ... #Endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Differential Diagnosis Algorithm ... Elevated PTH (High ... Low PTH: • Elevated ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... with hypokalemia ... creatinine) • Cell shift ... B2-adrenergic stimulation ... #differential #algorithm
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
, oral cavity) Caused ... Cataracts Labs: Hypokalemia ... levels following a low-dose ... stimulation 2 ... signs #symptoms #endocrinology