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