17 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... AI Measure ACTH ... - Low = secondary ... #Diagnosis #Algorithm ... #Test #Endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Pathophysiology Primary AI ... , while ACTH AND ... Secondary AI = the ... Low ACTH leads to ... Pathophysiology #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... (but low sensitivity ... - Low ACTH is ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
ACTH-Dependent ... (Secondary): • ... Polyglandular Autoimmune Syndrome ... Insufficiency #AI ... #Causes #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Clinical suspicion ... Low Cortisol Response ... insufficiency • Low ... - Secondary adrenal ... #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Diagnosis Workup Algorithm ... or tuberculosis Secondary ... • Infiltrative tumor ... apoplexy • Isolated ACTH-deficiency ... #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Hyperpigmentation is absent (low ... ACTH). ... including: pituitary tumor ... hypophysitis, Sheehan's syndrome ... Diagnosis #Management #Endocrinology
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Differential Diagnosis Algorithm ... Hyperthecosis • Tumor ... Tumor Low Serum ... Differential #Diagnosis #Algorithm ... #endocrinology
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Differential Diagnosis Algorithm ... High Al, High R - Secondary ... Renin-secreting tumor ... , Congenital Adrenal ... Differential #Diagnosis #Algorithm
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Benign Adrenal Mass ... Dependent • ACTH ... High DHEAS • Low ... High Plasma E2 +Clinical ... #Endocrinology