12 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... , hypotension, hyponatremia ... - Secondary adrenal ... #Differential # ... #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
- Differential ... Diagnosis Workup ... or tuberculosis Secondary ... apoplexy • Isolated ACTH-deficiency ... #Algorithm #endocrinology
Causes of Secondary Amenorrhea - Differential Diagnosis
 • Pregnancy
 • Endocrinopathies: PCOS, Hypothyroidism
 • HPA Dysfunction:
Causes of Secondary ... Amenorrhea - Differential ... Diagnosis • Pregnancy ... #Amenorrhea #Differential ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
- Differential ... Diagnosis Algorithm ... ACTH-Dependent ... (Secondary): • ... #Causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Axis Response to ACTH ... AI #Adrenal #Insufficiency ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Step 3) Differentiate ... primary vs secondary ... consistent with secondary ... #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
AI, hyponatremia ... is absent (low ACTH ... Causes of Secondary ... ACTH STIM TEST: ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... skin (due to high ACTH ... hypoglycemia, Hyponatremia ... eosinophilia Diagnostic ... Stimulation #StimTest #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
antibody test Secondary ... test - If the secondary ... secretion; in chronic secondary ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... • Acne • If secondary ... menstrual cycles 5) Secondary ... is decreased), hypernatremia ... signs #symptoms #endocrinology