897 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... - Cosyntropin Stimulation ... BCM_InternalMed #Adrenal ... #Insufficiency ... #Cosyntropin #Stimulation
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... insufficiency) ... insufficiency; ... with cosyntropin stimulation ... #Cosyntropin #Stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... hormone (ACTH) stimulation ... insufficiency ... insufficiency ... #Insufficiency
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: ... insufficiency. ... Insufficiency: ... insufficiency is ... #Insufficiency
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Primary vs Secondary Adrenal ... Insufficiency - ... leads to limited adrenal ... stimulation, thus ... #Insufficiency
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... ) Test 2: ACTH Stimulation ... BCM_InternalMed #Adrenal ... #Insufficiency
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Insufficiency: ... insufficiency ... Insufficiency: ... #Adrenal #Insufficiency
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - ... Test: Cosyntropin Stimulation ... #Insufficiency ... Diagnosis #ACTH #Stimulation
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... indicates normal adrenal ... tertiary AI #Adrenal ... #Insufficiency ... Algorithm #ACTH #Stimulation
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
the diagnosis of adrenal ... insufficiency ( ... standard cosyntropin stimulation ... evaluation of adrenal