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diagnosis differential causes insufficiency management hypocalcemia treatment stimulation cosyntropin hypercalcemia primary syndrome workup adrenalmass ai cushings dysfunction hirsutism hypercortisolism hyponatremia
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm Exogenous (ACTH-independent) Endogenous • ACTH-dependent: - ACTH-secreting
Differential Diagnosis Algorithm ... : - Adrenal ... hyperplasia - Adrenal ... Differential #Diagnosis #Algorithm ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Differential Diagnosis Algorithm ... ACTH-Dependent ... Hypothalamic Dysfunction ACTH-Independent ... Hemochromatosis • Other: Surgery ... #Causes #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Baseline plasma ACTH ... High baseline ACTH ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
Diagnosis Workup Algorithm ... Primary Adrenal ... apoplexy • Isolated ACTH-deficiency ... Diagnosis #Workup #Algorithm ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... gland) #Adrenal ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Axis Response to ACTH ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Benign Adrenal Mass ... • Congenital Adrenal ... Hyperplasia • ACTH ... Dependent • ACTH ... #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm Test 1: Baseline AM Cortisol - Beware of major normal value -
Adrenal Insufficiency ... Diagnosis Algorithm ... pregnancy) Test 2: ACTH ... BCM_InternalMed #Adrenal ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm Autoimmune: • Isolated • Polyglandular autoimmune syndrome 1 •
Causes of Adrenal ... Differential Diagnosis Algorithm ... Hemochromatosis Other: • Surgery ... adrenomyeloneuropathy ACTH ... amzn.to/2LmUODZ #Adrenal
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... skin (due to high ACTH ... findings (see algorithm ... Insufficiency #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
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