33 results
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... Fasciculata: Cushing Syndrome ... dexamethasone test ... #Diagnosis #workup ... #endocrinology
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
Evaluating a Patient ... #Cushings #Syndrome ... Disease #Algorithm #Workup ... #Suppression #Test ... #diagnosis
Evaluation of Secondary Hypertension
 • Primary aldosteronism - PRA, PAC
 • Renal artery stenosis - Renal
Evaluation of Secondary ... fT4 • Cushing syndrome ... Mineralocorticoid excess syndromes ... Hypertension #resistant #Evaluation ... #workup #diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... - Evaluation of ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... Insufficiency #Evaluation ... #laboratory #diagnosis ... #testing #endocrinology ... #workup
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... #Differential #Diagnosis ... Causes #Screening #Workup
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Serum DHEAS Diagnosis ... clue • Blood tests ... ACTH stimulation test ... addisons #disease #endocrinology ... #diagnosis #signs
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
dexamethasone suppression test ... Hormone • MRI of adrenal ... #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction
Approach to Adrenal Incidentaloma - Workup
Step 1: Image Evaluation
Step 2: Hormonal Assessment

Dr. Gabriela Pucci @gabifpucci and
Approach to Adrenal ... Incidentaloma - Workup ... Step 1: Image Evaluation ... Incidentaloma #Workup ... #diagnosis #endocrinology
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
(RCC) - Diagnosis ... Budd Chiari syndrome ... Symptoms of metastatic ... with contrast Evaluation ... express Laboratory tests