27 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... hyponatremia, hyperkalemia ... 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 Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... Hyperpigmented skin (due to high ... ACTH stimulating ... Hyponatremia, hyperkalemia ... #Diagnosis #Algorithm
The Diagnostic Approach to Hyperkalemia
Drugs
 - Amiloride
 - Spironolactone
 - Triamterene
 - Trimethoprim
 - Pentamidine
 -
transplant - SLE High ... Primary adrenal insufficiency ... Low Renin - Diabetes ... #Algorithm #diagnosis ... #differential #
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
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Diagnosis Algorithm ... Dependent • ACTH ... Hypertension +/- Hypokalemia ... #Diagnosis #Algorithm ... #Endocrinology
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 • Tissue injury
 • Hemolysis
 • Rhabdomyolysis
 •
Causes of HyperKalemia ... Succinylcholine • Diabetes ... Hypertonicity • ß2-receptor ... glycosides • High ... Diagnosis #Causes
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
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Differential Diagnosis ... Algorithm Elevated ... PTH (High or normal ... Diagnosis #Algorithm ... #causes #endocrinology
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