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

Early am cortisol < 3
Adrenal Insufficiency ... AI Measure ACTH ... - Low = secondary ... #Adrenal #Insufficiency ... #Test #Endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology
Primary AI = adrenal glands themselves are the problem. This
Adrenal Insufficiency ... Secondary AI = the ... Low ACTH leads to ... #Adrenal #Insufficiency ... Pathophysiology #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... or tuberculosis Secondary ... Adrenal Insufficiency ... apoplexy • Isolated ACTH-deficiency ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... (but low sensitivity ... - Low ACTH is ... #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Clinical suspicion ... - Adrenal insufficiency ... Secondary adrenal ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - ... (Secondary): • ... Polyglandular Autoimmune Syndrome ... #AI #Differential ... #Causes #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... Hyperpigmentation is absent (low ... Adrenal Insufficiency ... including: pituitary tumor ... hypophysitis, Sheehan's syndrome
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
familial eosinophilia Secondary ... Neoplastic: Solid tumors ... bartonella) • Rheum/AI ... Eosinophilic pneumonia, Adrenal ... insufficiency,
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
Causes of Hypocalcemia by Clinical Cause

Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Hypocalcemia by Clinical ... pancreatitis, tumor ... Malabsorption syndrome ... gland removal Renal ... Differential #Diagnosis #Endocrinology