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

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... #Adrenal #Insufficiency ... #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... 1) Screening Test ... #Insufficiency ... #Stimulation #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - ... Differential Diagnosis Algorithm ... #Insufficiency ... #AI #Differential ... #Causes #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Long-term steroid ... PEARLS: 1. ... ACTH STIM TEST: 1. ... Diagnosis #Management #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... #Insufficiency ... #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Insufficiency: ... Hypoparathyroidism - Type 1 ... /dL -> Primary AI ... ug/dL Primary AI ... addisons #disease #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Differential Diagnosis Algorithm ... Hyperplasia • MEN 1 ... Insufficiency ... Differential #Diagnosis #Algorithm ... #Endocrinology
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
Differential Diagnosis Algorithm ... Viral (HIV, HTLV-1) ... bartonella) • Rheum/AI ... Eosinophilic pneumonia, Adrenal ... insufficiency,
Tall Stature - Differential Diagnosis Algorithm

Normal Growth (BA=CA)
 • Familial Tall Stature
 • XYY Syndrome
Obese BMI
Differential Diagnosis Algorithm ... Precocious Puberty • Adrenal ... • Congenital Adrenal ... Neurofibromatosis 1 ... #endocrinology
Adrenal Insufficiency Treatment - Stress Dose Steroids
 • Large Bore IVs, ~2L IVF & Draw workup
Adrenal Insufficiency ... Hydrocortisone IV x 1, ... Insufficiency before ... #AI #Treatment # ... StressDose #Steroids #endocrinology