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

Early am cortisol < 3
- Evaluation of ... of primary OR secondary ... or secondary AI ... AI - Low = secondary ... #Test #Endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Diagnosis Workup ... or tuberculosis Secondary ... apoplexy • Isolated ACTH-deficiency ... Diagnosis #Workup ... #Algorithm #endocrinology
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
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
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
- Differential ... (Secondary): • ... (Primary): • Autoimmune ... #AI #Differential ... #Causes #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
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... #Evaluation #laboratory ... #diagnosis #testing ... #endocrinology ... #workup
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... and Differential ... (when evaluation ... Vasculitis • Endocrinologic ... Hypothyroidism, Primary