Adrenal Insufficiency Diagnosis | Medical Algorithm

Are you evaluating a patient being admitted as a medical patient to the hospital?

Yes

Has glucocorticoid therapy been recently stopped?

Yes

Does the patient have?

• nausea?

Yes

• hyperkalemia?

Yes

• eosinophilia?

Yes

• hypotension?

Yes

• fatigue and/or general weakness?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of key factors identifying a patient who may have adrenal insufficiency

Number of additional factors present

Should you consider screening the patient for adrenal insufficiency using a high dose ACTH stimulation test?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Adrenal Crisis in Patient with Adrenal Insufficiency
Clinical Diagnosis, Including Family History For Genetics
- Clinical Features of Acute Adrenal Crisis (Acute Addisonian Crisis)
Criteria For Diagnosis
- Criteria for Hepatoadrenal Syndrome

Therapy

Selection
- Risk Factors for Adrenal Crisis in Patient with Adrenal Insufficiency
Dosage Calculations
- Guidelines for Adrenal Supplementation Therapy in Patients with Adrenal Insufficiency

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

Factors to Identify Adrenal Insufficiency in Patient Being Admitted to Hospital

Purpose: To identify a patient being admitted to the hospital as a medical patient who should be screened for adrenal insufficiency.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10