31 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Differential Diagnosis Workup ... Primary Adrenal Insufficiency ... Differential #Diagnosis #Workup ... #Algorithm #endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Cosyntropin Stimulation Test ... BCM_InternalMed #Adrenal #Insufficiency ... #Stimulation #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... Secondary Adrenal Insufficiency ... diagnosis #testing #endocrinology ... #workup
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... PRIMARY adrenal insufficiency ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... ACTH) stimulation test ... Response - Adrenal insufficiency ... Primary adrenal insufficiency ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm Test ... OCPs, pregnancy) Test ... BCM_InternalMed #Adrenal #Insufficiency ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Standard Stim test ... AI #Adrenal #Insufficiency ... #Stimulation #Test ... #Endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Check pregnancy test ... affects diagnostic workup ... Diagnosis #Algorithm #Workup ... #Endocrinology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Additional laboratory tests ... chronic kidney tests ... Test for celiac ... endoscopy • Insufficient ... Gastrointestinal #Evaluation #workup
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... Step 1) Screening Test ... ) Confirmation Test ... ) #Adrenal #Insufficiency ... #Stimulation #Endocrinology