44 results
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
- Differential Diagnosis ... Workup Algorithm ... #Differential #Diagnosis ... #Workup #Algorithm ... #endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Algorithm Radioactive ... because pregnancy affects ... diagnostic workup ... #Algorithm #Workup ... #Endocrinology
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Hypercortisolism (Cushing syndrome ... Simplified Differential Diagnosis ... Algorithm Exogenous ... hyperplasia - Adrenal ... #Algorithm #endocrinology
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
- Differential Diagnosis ... Algorithm ADRENAL ... • Congenital Adrenal ... #Differential #Diagnosis ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... eosinophilia Diagnostic ... findings (see algorithm ... around 6-8AM) – if value ... Stimulation #StimTest #Endocrinology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... • nephrotic syndrome ... Hypernatremia #Diagnosis ... #Workup #Algorithm
Hirsutism - Differential Diagnosis Algorithm
RAPID ONSET
Medications
 • Steroids
 • Danazol
 • Progestin Containing Contraceptives
Increased Serum Testosterone
- Differential Diagnosis ... Algorithm RAPID ... Serum DHEAS • Adrenal ... -OH Congenital Adrenal ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... of major normal value ... Insufficiency #Diagnosis ... #Algorithm #endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... Fasciculata: Cushing Syndrome ... evaluation • Adrenal ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Testing Algorithm ... Hormone • MRI of adrenal ... #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction