79 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... 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 ... Diagnosis and Screening ... • Cushing’s syndrome ... #Diagnosis #Causes
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
- Differential ... Diagnosis Workup ... or tuberculosis Secondary ... #Diagnosis #Workup ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Standard Stim test ... #Stimulation #Test ... #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 ... Polyglandular Autoimmune Syndrome ... #Causes #endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
dexamethasone suppression test ... Hormone • MRI of adrenal ... #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Step 3) Differentiate ... primary vs secondary ... consistent with secondary ... #Stimulation #Endocrinology
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
) - Simplified Differential ... Diagnosis Algorithm ... #Differential # ... Diagnosis #Algorithm ... #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Secondary Adrenal ... - If the secondary ... secretion; in chronic secondary ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Virilization - Differential ... Diagnosis Algorithm ... #Virilization #Differential ... #Diagnosis #Algorithm ... #endocrinology