20 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... , hypoglycemia Testing ... test AND • Baseline ... #Diagnosis #Algorithm ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Step 3) Differentiate ... - Low ACTH is ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Algorithm - Evaluation ... then go to stim testing ... primary AI - Low ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
between 8 and 9 AM - Low ... aldosterone - Low ... Plasma ACTH - Low ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Diagnosis Algorithm ... Pregnancy, Breast Stimulation ... Prolactin + Normal/ Low ... #Diagnosis #Algorithm ... #Endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... Cortisol, Saliva • Low ... dexamethasone suppression test ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... beta-2 adrenergic simulation ... #Diagnosis #Algorithm ... #nephrology #low
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1° Renal PO4 wasting ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential # ... nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Acid → renal salt wasting ... #Diagnosis #Algorithm ... #nephrology #sodium
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Diagnosis Algorithm ... High DHEAS • Low ... Dexamethasone Suppression Test ... #Diagnosis #Algorithm ... #Endocrinology