39 results
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
due to high ACTH stimulating ... test: Steroids ... interact with stim test ... #Cosyntropin #Stimulation ... #StimTest #Endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... - Cosyntropin Stimulation ... Test T-1m: Baseline ... BCM_InternalMed #Adrenal ... #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... chronic lack of stimulation ... diagnosis #testing #endocrinology ... #workup
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
Algorithm for the diagnostic workup of hyperthyroidism. (T3 = triiodothyronine; T4 = thyroxine; TSH = thyroid-stimulating
the diagnostic workup ... TSH = thyroid-stimulating ... algorithm #diagnosis #workup ... #aafp #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... hormone (ACTH) stimulation ... test AND • Baseline ... ACTH - Primary adrenal ... Diagnosis #Algorithm #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Step 1) Screening Test ... ) Confirmation Test ... : Cosyntropin Stimulation ... Diagnosis #ACTH #Stimulation ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Standard Stim test ... indicates normal adrenal ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Differential Diagnosis Workup ... Algorithm Primary Adrenal ... Differential #Diagnosis #Workup ... #Algorithm #endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... dexamethasone test ... evaluation • Adrenal ... Evaluation #Diagnosis #workup ... #endocrinology