Sandbox:Amd: Difference between revisions
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{| class="wikitable" | {| class="wikitable" | ||
!Disease | !Disease | ||
! colspan=" | ! colspan="7" |Clinical history/findings | ||
! rowspan="2" |Causes | ! rowspan="2" |Causes | ||
! colspan=" | ! colspan="3" |Investigations/ | ||
Laboratory findings | Laboratory findings | ||
!Medical management | !Medical management | ||
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!Hypoglycemia | !Hypoglycemia | ||
!Anorexia | !Anorexia | ||
! | !Abdominal pain | ||
!Other | !Muscle weakness | ||
!Other history/ | |||
findings | findings | ||
! | !Hyponatremia | ||
!Cortisol levels | |||
!Gold Standard | !Gold Standard | ||
! | ! | ||
! | ! | ||
|- | |- | ||
! colspan=" | ! colspan="14" |<big>Differentiating Primary from Secondary adrenal insufficiency</big> | ||
|- | |- | ||
|'''Primary adrenal''' | |'''Primary adrenal''' | ||
'''insufficiency''' | '''insufficiency''' | ||
|✔ | |||
|✔ | |✔ | ||
|✔ | |✔ | ||
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*Autoimmune/idiopathic | *Autoimmune/idiopathic | ||
*Infections- Tuberculosis, histoplasmosis | *Infections- Tuberculosis, histoplasmosis | ||
| | |✔ | ||
| | |↓ | ||
|Cosyntropin/ | |||
ACTH stimulation test | |||
| | | | ||
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|✔ | |✔ | ||
| - | | - | ||
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* [[Hypopituitarism]]- Tumors, infections. hemorrhage/trauma | * [[Hypopituitarism]]- Tumors, infections. hemorrhage/trauma | ||
* Drugs- Chronic steroid therapy and its withdrawal, Opiates | * Drugs- Chronic [[steroid]] therapy and its withdrawal, Opiates | ||
* Genetic- Combined pituitary hormone deficiency (CPHD), POMC (Proopiomelanocortin) | * [[Genetics|Genetic]]- Combined pituitary hormone deficiency (CPHD), POMC (Proopiomelanocortin) gene deficiency | ||
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! colspan=" | ! colspan="14" |'''<big>Differentiating Adrenal Insufficiency from other diseases</big>''' | ||
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Revision as of 19:37, 25 September 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]
Adrenal Insufficiency
| Disease | Clinical history/findings | Causes | Investigations/
Laboratory findings |
Medical management | Surgical management | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hypotension | Skin
pigmentation/ findings |
Hypoglycemia | Anorexia | Abdominal pain | Muscle weakness | Other history/
findings |
Hyponatremia | Cortisol levels | Gold Standard | ||||
| Differentiating Primary from Secondary adrenal insufficiency | |||||||||||||
| Primary adrenal
insufficiency |
✔ | ✔ | ✔ | ✔ | ✔ |
|
✔ | ↓ | Cosyntropin/
ACTH stimulation test |
||||
| Secondary adrenal
insufficiency |
✔ | - |
|
||||||||||
| Differentiating Adrenal Insufficiency from other diseases | |||||||||||||