29 results
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Insufficiency - Pathophysiology ... Primary AI = adrenal ... Secondary AI = the ... Insufficiency #Pathophysiology ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - Differential ... Polyglandular Autoimmune Syndrome ... Insufficiency #AI ... #Differential # ... Algorithm #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... specificity for AI ... > 15 excludes AI ... Step 3) Differentiate ... #Stimulation #Endocrinology
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Hypercortisolism (Cushing syndrome ... ) - Simplified Differential ... hyperplasia - Adrenal ... #Differential # ... Diagnosis #Algorithm #endocrinology
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Virilization - Differential ... Diagnosis Algorithm ADRENAL ... • Congenital Adrenal ... #Virilization #Differential ... Diagnosis #Algorithm #endocrinology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
vessels to the adrenal ... Waterhouse-Friderichsen syndrome ... Insufficiency #AI ... #differential # ... diagnosis #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Summary Primary Adrenal ... In secondary AI ... hypophysitis, Sheehan's syndrome ... Diagnosis #Management #Endocrinology
Hirsutism - Differential Diagnosis Algorithm
RAPID ONSET
Medications
 • Steroids
 • Danazol
 • Progestin Containing Contraceptives
Increased Serum Testosterone
Hirsutism - Differential ... Serum DHEAS • Adrenal ... • Cushing's Syndrome ... -OH Congenital Adrenal ... Diagnosis #Algorithm #endocrinology
Causes of Hypercalcemia
Parathyroid hormone–dependent
Primary hyperparathyroidism
Familial hypocalciuric hypercalcemia
Lithium-associated
Tertiary hyperparathyroidism
Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
Other humoral syndromes ... disease - Williams syndrome ... thyrotoxicosis, adrenal ... Hypercalcemia #Causes #Differential ... #Diagnosis #Endocrinology
Tall Stature - Differential Diagnosis Algorithm

Normal Growth (BA=CA)
 • Familial Tall Stature
 • XYY Syndrome
Obese BMI
Tall Stature - Differential ... Precocious Puberty • Adrenal ... • Congenital Adrenal ... #TallStature #Differential ... Diagnosis #Algorithm #endocrinology