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adrenal algorithm stimulation workup ai causes cosyntropin cushings evaluation highcalcium hypercalcemia hypercortisolism laboratory management signs stimtest symptoms syndrome test testing
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... , hypotension, hyponatremia ... - Primary adrenal ... - Secondary adrenal ... #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
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... of primary OR secondary ... AI #Adrenal #Insufficiency ... #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
- Differential ... ACTH-Dependent ... (Secondary): • ... (Primary): • Autoimmune ... #Causes #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 primary ... #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Management Summary Primary ... AI, hyponatremia ... is absent (low ACTH ... #Primary #Secondary ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... skin (due to high ACTH ... , only seen in PRIMARY ... hypoglycemia, Hyponatremia ... Stimulation #StimTest #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... autoimmune-mediated primary ... antibody test Secondary ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Diagnosis Algorithm ... Primary Hyperparathyroidism ... long-standing secondary ... Immobilization • Adrenal Insufficiency ... #Endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... • Acne • If secondary ... not a feature of primary ... is decreased), hypernatremia ... signs #symptoms #endocrinology
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