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