endocrinology diagnosis differential amenorrhea pediatrics insufficiency hyponatremia acth secondary primary workup evaluation algorithm testing

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Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,

Differential Diagnosis ... , hypoglycemia Testing ... - Primary adrenal ... Diagnosis #Algorithm ... #endocrinology

Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
• Autoimmune primary adrenal insufficiency
• Adrenoleukodystrophy,

Diagnosis Workup ... Algorithm Primary ... or tuberculosis Secondary ... Diagnosis #Workup ... #Algorithm #endocrinology

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

Early am cortisol < 3

Diagnosis Algorithm ... - Evaluation of ... of primary OR secondary ... then go to stim testing ... #Diagnosis #Algorithm

Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
• Pituitary Dysfunction
• Hypothalamic Dysfunction
ACTH-Independent (Primary):

Diagnosis Algorithm ... (Secondary): • ... (Primary): • Autoimmune ... #Diagnosis #Algorithm ... #Causes #endocrinology

Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
- Early morning cortisol levels

require Cosyntropin testing ... Step 3) Differentiate ... primary vs secondary ... #Algorithm #Diagnosis ... #Endocrinology

Primary Adrenal Insufficiency:
• ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because

Primary Adrenal ... #Evaluation #laboratory ... #diagnosis #testing ... #endocrinology ... #workup

Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
• Adenoma
• Hyperplasia
• MEN 1 and 2A
Tertiary Hyperparathyroidism

Diagnosis Algorithm ... Primary Hyperparathyroidism ... long-standing secondary ... #Diagnosis #Algorithm ... #Endocrinology

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