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diagnosis algorithm adrenal insufficiency workup dermatology generalized hypertension management pruritus stimulation systemic acromegaly ai cushings enuresis evaluation hypercortisolism indications laboratory
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... ) stimulation test ... - Primary adrenal ... - Secondary adrenal ... Diagnosis #Algorithm #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... (Secondary): • ... (Primary): • Autoimmune ... Polyglandular Autoimmune Syndrome ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
OR secondary AI ... unclear (often the case ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Step 3) Differentiate ... primary vs secondary ... consistent with secondary ... consistent with primary ... #Stimulation #Endocrinology
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 ... diagnosis #testing #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... • Cushing’s syndrome ... Acromegaly #Secondary ... #Hypertension #Differential
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 ... ACTH STIM TEST: ... #Management #Endocrinology
Causes of Enuresis - Differential Diagnosis Algorithm Primary Nocturnal Enuresis (Urinary Control Never Achieved) • Delayed Maturation
- Differential ... Diagnosis Algorithm Primary ... Anatomic Abnormality Secondary ... Non-neurogenic (Hinman Syndrome ... #Peds #Pediatrics
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Causes == Primary ... Liver Function Tests ... Myelodisplastic syndrome ... #secondary #systemic ... Diagnosis #Algorithm #causes
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Cushing's Syndrome ... • Acne • If secondary ... , oral cavity) Caused ... dexamethasone suppression test ... signs #symptoms #endocrinology
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