54 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Weakness, fatigue, nausea ... likely: • High ... Diagnosis #Algorithm ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Differential Diagnosis ... Algorithm ACTH-Dependent ... #Diagnosis #Algorithm ... #Causes #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
- Differential ... Diagnosis Workup ... Algorithm Primary ... apoplexy • Isolated ACTH-deficiency ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... : - High = primary ... #Diagnosis #Algorithm ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Step 3) Differentiate ... pituitary gland) - High ... #Algorithm #Diagnosis ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Diagnosis Algorithm ... Falsely elevated in high ... pregnancy) Test 2: ACTH ... #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... Hyperpigmented skin (due to high ... ACTH stimulating ... #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal ... Insufficiency - ... Differential Diagnosis ... adrenomyeloneuropathy ACTH ... Diagnosis #Algorithm
Etiologies of Hypoaldosteronism

Hyporeninemic Hypoaldosteronism (Low Renin, Low Aldosterone)
 - Diabetic Nephropathy 
 - NSAIDs
Non-Hyporeninemic Hypoaldosteronism (Normal
Aldosterone) - Diabetic ... Primary adrenal insufficiency ... - Aldosterone receptor ... #Diagnosis #Renin ... Comparison #Table #Causes
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... intake, Renal insufficiency ... #differential # ... algorithm #causes