Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Insufficiency #Differential ... #Diagnosis #Algorithm ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 β€’ Pituitary Dysfunction
 β€’ Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - Differential ... Diagnosis Algorithm ... ACTH-Dependent ... Granulomatous Disease ... #Causes #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 β€’ Autoimmune primary adrenal insufficiency
 β€’ Adrenoleukodystrophy,
- Differential ... Diagnosis Workup Algorithm ... apoplexy β€’ Isolated ACTH-deficiency ... Insufficiency #Differential ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Insufficiency - Algorithm ... Step 3) Differentiate ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Axis Response to ACTH ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... Clinical features ... skin (due to high ACTH ... findings (see algorithm ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... pregnancy) Test 2: ACTH ... BCM_InternalMed #Adrenal ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 β€’ Isolated
 β€’ Polyglandular autoimmune syndrome 1
 β€’
Causes of Adrenal ... Insufficiency - Differential ... Diagnosis Algorithm ... Thrombophilia β€’ Critical ... adrenomyeloneuropathy ACTH
Cushing Syndrome - Hypercortisolism Differential Diagnosis Algorithm

#Cushings #Syndrome #Differential #Diagnosis #Algorithm #disease #endocrinology #Hypercortisolism
Hypercortisolism Differential ... Diagnosis Algorithm ... Cushings #Syndrome #Differential ... #Diagnosis #Algorithm ... #disease #endocrinology
Hypocalcemia Differential Diagnosis Algorithm
 - Magnesium deficiency
 - Hypoparathyroidism 
 - Hypoalbuminemia (Pseudohypocalcemia)
 - Vitamin D
Hypocalcemia Differential ... Diagnosis Algorithm ... chronic kidney disease ... #endocrinology ... #differential