41 results
diagnosis algorithm insufficiency differential management treatment causes pathophysiology secondary stimulation cosyntropin primary signs symptoms syndrome adrenalmass ai cushings disease evaluation
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
stimulation test ... autoantibody tests ... stimulation test ... diagnosis #testing #endocrinology ... #workup
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
Adrenal Insufficiency ... Differential Diagnosis Workup ... apoplexy • Isolated ACTH-deficiency ... Differential #Diagnosis #Workup ... #Algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
) stimulation test ... Baseline plasma ACTH ... High baseline ACTH ... normal baseline ACTH ... Diagnosis #Algorithm #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Step 1) Screening Test ... ) Confirmation Test ... This test determines ... #Stimulation #Endocrinology
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm Exogenous (ACTH-independent) Endogenous • ACTH-dependent: - ACTH-secreting
Endogenous • ACTH-dependent ... : - ACTH-secreting ... : - Adrenal ... hyperplasia - Adrenal ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Axis Response to ACTH ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
clue • Blood tests ... stimulation test ... test is not affected ... test is affected ... addisons #disease #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm Test ... OCPs, pregnancy) Test ... 2: ACTH Stimulation ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Adrenal Insufficiency ... skin (due to high ACTH ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Benign Adrenal Mass ... Hyperplasia • ACTH ... Dependent • ACTH ... Dexamethasone Suppression Test ... Diagnosis #Algorithm #Endocrinology
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