8 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Standard Stim test ... #Adrenal #Insufficiency ... #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - ... Polyglandular Autoimmune Syndrome ... Staph Aureus, Strep ... #AI #Differential ... #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... #Insufficiency ... #Algorithm #Diagnosis ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... Weakness, fatigue, GI distress ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Treatment - Stress Dose Steroids
 • Large Bore IVs, ~2L IVF & Draw workup
Adrenal Insufficiency ... Treatment - Stress ... Insufficiency before ... #AI #Treatment # ... StressDose #Steroids #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST: ... Diagnosis #Management #Endocrinology
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
Differential Diagnosis Algorithm ... Hypersensitivity (DRESS ... bartonella) • Rheum/AI ... Eosinophilic pneumonia, Adrenal ... insufficiency,
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
, Anaphylaxis, Adrenal ... Insufficiency, ... Abdominal compartment syndrome ... Differential #Diagnosis #criticalcare ... #algorithm #treatment