8 results
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... Serum DHEAS Diagnosis ... Administer 250 mcg ... #endocrinology ... #diagnosis #signs
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
RBC’s, RBC/WBC casts ... suggest intrinsic renal ... disease - Timing ... #EM #IM #Urology ... #Ddxof
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... is 250 mcg of IV ... #Endocrinology
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
symptoms (HA, nausea ... disease), drug ... #EM #IM #Nephro ... #Differential #Algorithm ... #Ddxof
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
- Differential Diagnosis ... Algorithm Normal ... • Congenital Adrenal ... #Algorithm #endocrinology ... #causes #pediatrics
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
or metastatic disease ... A STIM test can ... ACTH STIM TEST: ... Give 250 mcg of ... #Management #Endocrinology
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Ultrasound • Adrenal ... Activity • Liver Disease ... Cell Tumor • HCG ... #Algorithm #causes ... #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... dexamethasone suppression test ... the abdomen for adrenal ... tumors • The adrenal ... signs #symptoms #endocrinology