Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical ...
6
Description

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

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Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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