25 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis ... of primary OR secondary ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
volume depletion, abdominal ... ACTH) stimulation test ... baseline ACTH - Primary ... baseline ACTH - Secondary ... #Algorithm #endocrinology
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
vs Secondary vs ... Excessive urination, Abdominal ... Hyperparathyroidism #diagnosis ... #endocrinology ... #PTH #Primary #Secondary
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... - Differential Diagnosis ... ultrasound; MRA; abdominal ... Acromegaly #Secondary ... #Differential #Diagnosis
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 ... #Secondary #Diagnosis ... #Management #Endocrinology
Syphilis - Diagnosis and Management - Primary vs Secondary vs Tertiary
Primary Syphilis
 • Localized lymphadenopathy
 •
Syphilis - Diagnosis ... and Management ... - Primary vs Secondary ... Negative treponemal tests ... #Management #stages
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Differentiate primary ... vs secondary AI ... consistent with secondary ... consistent with primary ... #Stimulation #Endocrinology
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
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... autoimmune-mediated primary ... Secondary Adrenal ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Carcinoma (RCC) - Diagnosis ... and Management ... and a palpable abdominal ... Secondary Amyloidosis ... initial test: abdominal