Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain, hypotension, hyponatremia, hyperkalemia, hyperpigmentation, hypoglycemia Testing: • Adrenocorticotropic hormone (ACTH) stimulation test AND • Baseline plasma ACTH Low Cortisol Response - Adrenal insufficiency likely: • High baseline ACTH - Primary adrenal insufficiency • Low or normal baseline ACTH - Secondary adrenal insufficiency ARUPConsult @ARUPLabs #Adrenal #Insufficiency #Differential #Diagnosis #Algorithm #endocrinology
