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

Early am cortisol < 3
OR secondary AI ... unclear (often the case ... or secondary AI ... AI - Low = secondary ... #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
ACTH-Dependent (Secondary ... ACTH-Independent (Primary ... Polyglandular Autoimmune Syndrome ... Insufficiency #AI ... #endocrinology
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 ... #Management #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
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
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Causes == Primary ... Liver Function Tests ... Myelodisplastic syndrome ... #secondary #systemic ... #generalized #dermatology
Causes of Enuresis - Differential Diagnosis Algorithm
Primary Nocturnal Enuresis (Urinary Control Never Achieved)
 • Delayed Maturation
Causes of Enuresis ... - Differential ... Anatomic Abnormality Secondary ... Non-neurogenic (Hinman Syndrome ... #Peds #Pediatrics
Causes of Thrombocytosis - Differential Diagnosis
Secondary Thrombocytosis (a.k.a Reactive Thrombocytosis):
 • Acute infection
 • Solid organ
- Differential ... Diagnosis Secondary ... Post-splenectomy Primary ... Myelodysplastic syndrome ... #hematology #secondary
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... ACTH) stimulation test ... baseline ACTH - Primary ... baseline ACTH - Secondary ... Diagnosis #Algorithm #endocrinology
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... leakage of RBC's secondary ... /Quantity: • Primary ... : ITP • Secondary ... Kasabach-Merritt syndrome