28 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Weakness, fatigue, nausea ... volume depletion, abdominal ... ACTH) stimulation test ... baseline ACTH - Primary
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... /vomiting • Abdominal ... Serum DHEAS Diagnosis ... endocrinology #diagnosis
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... , only seen in PRIMARY ... around 6-8AM) – if value ... cosyntropin stimulation test ... interact with stim test
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... ultrasound; MRA; abdominal ... angiography • Primary ... repaired) • Primary ... #Differential #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... of major normal value ... incremental increase to assess
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary Primary ... ) w/ anorexia, abdominal ... A STIM test can ... ACTH STIM TEST: ... #Primary #Secondary
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... Standard Stim test ... AI #Adrenal #Insufficiency ... #Stimulation #Test
Causes of Acute Onset Fever - Differential Diagnosis Algorithm
Viral:
 • Rhinovirus
 • Influenza Virus
 • Parainfluenza
Causes of Acute ... - Differential Diagnosis ... Skin Infection Abscess ... • Thoracic • Abdominal ... Acute Adrenal Insufficiency
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... Insufficiency: ... aldosterone - Low in cases ... autoimmune-mediated primary ... Evaluation #laboratory #diagnosis
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
Causes of Intestinal ... - Differential Diagnosis ... Hernia: External abdominal ... abscess, "Starch ... • Neoplastic: Primary