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diagnosis causes insufficiency dermatology nephrology workup hypertension hypocalcemia management stimulation acth cosyntropin hematology hypercalcemia primary syndrome systemic adrenalmass cushings generalized
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... ACTH) stimulation test ... baseline ACTH - Secondary ... #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
- Differential ... Diagnosis Workup Algorithm ... or tuberculosis Secondary ... Insufficiency #Differential ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 3) Differentiate ... primary vs secondary ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Insufficiency - Differential ... Diagnosis Algorithm ... ACTH-Dependent (Secondary ... #Diagnosis #Algorithm ... #Causes #endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... BCM_InternalMed #Adrenal ... #Stimulation #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Secondary Adrenal ... - If the secondary ... secretion; in chronic secondary ... administration of CRH; if secondary ... diagnosis #testing #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... • Congenital adrenal ... Acromegaly #Secondary ... #Hypertension #Differential
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... findings (see algorithm ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... #endocrinology
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