34 results
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 ... Diagnosis #Algorithm #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... • Cushing’s syndrome ... Acromegaly #Secondary ... #Hypertension #Differential
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... dexamethasone suppression test ... Hormone • MRI of adrenal ... diagnosis #algorithm #endocrinology ... #Adrenal #Hyperfunction
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - Differential ... ACTH-Dependent (Secondary ... 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
Step 1) Screening Test ... Step 3) Differentiate ... primary vs secondary ... consistent with secondary ... #Stimulation #Endocrinology
Patellofemoral Syndrome - Pathogenesis and clinical findings
 • Anterior Knee Pain with possible symptoms of 'catching'
Patellofemoral Syndrome ... Pathogenesis and clinical ... findings • Anterior Knee ... (crepitus) • Secondary ... signs #symptoms #msk
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Causes of Secondary ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST: ... Diagnosis #Management #Endocrinology
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Mass - Differential ... Polycystic Ovarian Syndrome ... High Plasma E2 + Clinical ... Dexamethasone Suppression Test ... Diagnosis #Algorithm #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Benign Adrenal Mass ... - Differential ... High Plasma E2 +Clinical ... Dexamethasone Suppression Test ... Diagnosis #Algorithm #Endocrinology
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Gynecomastia - Differential ... Ultrasound • Adrenal ... Klinefelter's Syndrome ... • Non-Tumor Secondary ... Algorithm #causes #endocrinology