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

Early am cortisol < 3
Algorithm - Evaluation ... unclear (often the case ... Standard Stim test ... #Algorithm #ACTH ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... Insufficiency #Algorithm ... #Diagnosis #ACTH ... #Stimulation #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... ) stimulation test ... #Algorithm #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Algorithm ACTH-Dependent ... Insufficiency #AI ... #Algorithm #Causes ... #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... Serum DHEAS Diagnosis ... addisons #disease #endocrinology ... #diagnosis #signs
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... aldosterone - Low in cases ... in which injury ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Adrenalitis Other causes ... A STIM test can ... ACTH STIM TEST: ... #Management #Endocrinology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... Algorithm Cardiovascular ... • Muscular Injury ... #Differential #Diagnosis ... #Algorithm #causes
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Renal: (AKI ... quantify renal injury ... anti-GBM) Other tests ... Goodpasture's cause ... hematuria, RBC casts
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
liver or renal injury ... tests before beginning ... output - Acute pulmonary ... gluconeogenesis Liver Injury ... lactate and can act