Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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 Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
OR secondary AI ... Standard Stim test ... or secondary AI ... AI - Low = secondary ... #ACTH #Stimulation
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... : Cosyntropin Stimulation ... Step 3) Differentiate ... primary vs secondary ... consistent with primary
Algorithm for the diagnosis of adrenal insufficiency (AI). The standard cosyntropin stimulation test (CST) may be
Algorithm for the ... insufficiency (AI ... standard cosyntropin stimulation ... test (CST) may ... new-onset (<2-4 weeks) secondary
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... ) stimulation test ... - Primary adrenal ... - Secondary adrenal
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 β€’ Pituitary Dysfunction
 β€’ Hypothalamic Dysfunction
ACTH-Independent (Primary):
Diagnosis Algorithm ... ACTH-Dependent ... (Secondary): β€’ ... (Primary): β€’ Autoimmune ... Insufficiency #AI