29 results
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
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Primary vs Secondary ... , while ACTH AND ... Renin will be very ... Low ACTH leads to ... Pathophysiology #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... primary AI - Low ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
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
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... - Low ACTH is ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Differential Diagnosis Algorithm ... ACTH-Dependent ... (Secondary): • ... Polyglandular Autoimmune Syndrome ... #Causes #endocrinology
Hyperaldosteronism - Etiologies of Mineralocorticoid Excess

Primary Hyperaldosteronism (Normal or Low Renin, High Aldosterone) 
 - Aldosterone-secreting
Aldosterone-secreting tumor ... - Congenital adrenal ... hyperplasia Secondary ... tumor Pseudohyperaldosteronism ... - Cushing’s syndrome
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 ... renovascular HT, Renin-secreting ... tumorLow Al ... , Congenital Adrenal