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

Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... ) stimulation test ... - Primary adrenal ... - Secondary adrenal
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... aldosterone - Low in cases ... autoimmune-mediated primary ... Secondary Adrenal ... - If the secondary
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... ACTH-Dependent ... (Secondary): • ... (Primary): • Autoimmune ... Polyglandular Autoimmune Syndrome
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Differentiate primary ... vs secondary AI ... consistent with primary ... Insufficiency #Algorithm
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... CT scan, adrenal ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... Acromegaly #Secondary
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... suggests either secondary ... • Primary Hyperaldosteronism ... • Secondary Hyperaldosteronism ... , Congenital adrenal
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary Primary ... Causes of Secondary ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST:
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
Primary and Secondary ... Causes of Hypertension ... Differential Diagnosis Algorithm ... excess (Cushing syndrome ... Differential #Diagnosis #Algorithm
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Causes == Primary ... Liver Function Tests ... Myelodisplastic syndrome ... #secondary #systemic ... #causes