11 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
skin (due to high ACTH ... , only seen in PRIMARY ... test: Steroids ... interact with stim test ... #StimTest #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... : Cosyntropin Stimulation ... Differentiate primary ... consistent with primary ... #Stimulation #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... ) stimulation test ... - Primary adrenal ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #ACTH #Stimulation ... #Test #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... stimulation test ... stimulation test ... stimulation test ... diagnosis #testing #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
hypothyroidism ... clue • Blood tests ... stimulation test ... test is affected ... addisons #disease #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Insufficiency Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... #endocrinology
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
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Pregnancy, Breast Stimulation ... + High TSH • Primary ... Hypothyroidism ... #Endocrinology
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
Differential Diagnosis Algorithm ... Adenoma - Primary ... • GH • ACTH ... Hypothyroidism) ... #endocrinology