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differential causes insufficiency nephrology stimulation workup hypokalemia management potassium acromegaly acute aki allergy cosyntropin cushings eosinophilia gynecomastia hypercortisolism hypertension hypocalcemia
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... of primary OR secondary ... or secondary AI ... AI - Low = secondary ... #Diagnosis #Algorithm
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
Workup Algorithm ... Primary Adrenal ... or tuberculosis Secondary ... apoplexy • Isolated ACTH-deficiency ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... vs secondary AI ... #Diagnosis #ACTH ... #Stimulation #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Algorithm ACTH-Dependent ... (Secondary): • ... (Primary): • Autoimmune ... Insufficiency #AI ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... - Primary adrenal ... - Secondary adrenal ... #Algorithm #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Management Summary Primary ... including: pituitary tumor ... hypophysitis, Sheehan's syndrome ... #Secondary #Diagnosis ... #Management #Endocrinology
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
- Differential Diagnosis ... Algorithm Defining ... suggests either secondary ... Renin-secreting tumor ... , Congenital adrenal
Eosinophilia - Differential Diagnosis Algorithm Idiopathic Eosinophilia Primary Eosinophilia: • Primary hypereosinophilic syndrome • Eosinophilic Leukemia • MPN/MDS
Algorithm Idiopathic ... familial eosinophilia Secondary ... Neoplastic: Solid tumors ... bartonella) • Rheum/AI ... Eosinophilic pneumonia, Adrenal
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... Clinical features ... skin (due to high ACTH ... , only seen in PRIMARY ... Stimulation #StimTest #Endocrinology
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
- Differential Diagnosis ... Algorithm No Testicular ... Ultrasound • Adrenal ... Secondary Hypogonadism ... #endocrinology
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