24 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... OR secondary AI ... or secondary AI ... or tertiary AI ... #Adrenal #Insufficiency
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - ... ACTH-Independent (Primary ... Polyglandular Autoimmune Syndrome ... #AI #Differential ... #Causes #endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Adrenal Insufficiency ... AI = adrenal glands ... Secondary AI = the ... #Insufficiency ... Pathophysiology #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
specificity for AI ... > 15 excludes AI ... have diagnosed AI ... vs secondary AI ... #Stimulation #Endocrinology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Syndrome of Inappropriate ... • Reduced GFR, AKI ... insufficiency ... suppression • Primary ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Syndrome of Inappropriate ... • Reduced GFR, AKI ... insufficiency ... suppression • Primary ... #Hyponatremia #Nephrology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Adrenal Insufficiency ... In secondary AI ... diagnostic of AI ... diagnostic of AI
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... abdominal pain, hypotension ... baseline ACTH - Primary ... adrenal insufficiency ... #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... AI present - ... AI present - ... #adrenal #insufficiency ... addisons #disease #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... GI distress - Hypotension ... , only seen in PRIMARY ... adrenal insufficiency ... Stimulation #StimTest #Endocrinology