19 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
, only seen in PRIMARY ... around 6-8AM) – if value ... 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,
Algorithm Clinical ... volume depletion, abdominal ... ACTH) stimulation test ... baseline ACTH - Primary ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Algorithm - Evaluation ... Standard Stim test ... #Algorithm #ACTH ... #Stimulation #Test ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Insufficiency Diagnosis ... Algorithm Test ... of major normal value ... OCPs, pregnancy) Test ... #Algorithm #endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Algorithm Radioactive ... Check pregnancy test ... workup choices AND management ... #Algorithm #Workup ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Differentiate primary ... consistent with primary ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
and Management ... Abdominal pain; ... positive T. whipplei tests ... positive T. whipplei test ... #algorithm #management
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
and Management ... Summary Primary ... ) w/ anorexia, abdominal ... A STIM test can ... #Management #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Nausea/vomiting • Abdominal ... Serum DHEAS Diagnosis ... clue • Blood tests ... addisons #disease #endocrinology ... #diagnosis #signs
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Thyroid Function Tests ... high T4 +/- T3 → Primary ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology