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

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

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... (but low sensitivity ... vs secondary AI ... - Low ACTH is ... #Stimulation #Endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Primary Adrenal ... • Autoimmune primary ... or tuberculosis Secondary ... apoplexy • Isolated ACTH-deficiency ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
(Secondary): • ... (Primary): • Autoimmune ... 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 ... - Primary adrenal ... insufficiency • Low ... - Secondary adrenal ... #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary Primary ... Hyperpigmentation is absent (low ... including: pituitary tumor ... hypophysitis, Sheehan's syndrome ... #Management #Endocrinology
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Differential Diagnosis Algorithm ... R - Primary aldosteronism ... High Al, High R - Secondary ... Renin-secreting tumor ... , Congenital Adrenal
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
Eosinophilia: • Primary ... familial eosinophilia Secondary ... Neoplastic: Solid tumors ... bartonella) • Rheum/AI ... Eosinophilic pneumonia, Adrenal
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Cushing's Syndrome ... Diagnosis and Clinical ... skin with stretch marks ... levels following a low-dose ... signs #symptoms #endocrinology