Episode 161: The Consult Question #1 – Hypoglycemia
The Clinical Problem Solvers
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How to Diagnose Adrenal Insufficiency
The patient's cortisol was less than 5. A TSH, a thyroid stimulating hormone, was 8.97 with a normal range being 0.5 to 4.12 millilitars. Anti-tiral globulin antibodies were elevated at 328.71 international units per millilitar. The ACTH test will tell you if the patient has central adrenal insufficiency or primary adrenalInsufficiency. But ideally, you would just go ahead and start treatment and wait until those labs are back.
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