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diagnosis differential algorithm endocrinology clinical pathophysiology causes workup management pocus infectiousdiseases fish physicalexam thyroid video hyperthyroidism ultrasound amenorrhea obgyn parasite
ACTH LH Cholesterol cholesterol desmolase Pregnenolone 17a-hydroxylase 17 Hydroxyregnenolone 17,20-lyase 3B-hydroxysteroid dehydrogenase 3B-hydroxysteroid dehydrogenase 17a-hydroxylase #Progesterone 17-Hydroxyprogesterone 17,20-lyase 21ß-hydroxylase 21ß-hydroxylase 11-Deoxycorticosterone 11-Deoxycortisol 11ß-hydroxylase 11ß-hydroxylase #Cortisol #Dehydroepiandrosterone #DHEA 3ß-hydroxysteroid dehydrogenase 个 #Androstenedione #17B-hydroxysteroid #dehydrogenase #Testosterone #aromatase #FSH #Estradiol #5a reductase #Corticosterone aldosterone synthase #Aldosterone Angiotensin || #Dihydrotestosterone (DHT)
#aromatase #FSH ... #Estradiol #5a
Bilateral Winged Scapula on Physical Exam - Seen in Facioscapulohumeral Muscular Dystrophy (FSH, FSHD) #Bilateral #Winged #Scapula
Muscular Dystrophy (FSH ... , FSHD) #Bilateral ... Muscular #Dystrophy #FSH ... #FSHD #clinical
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 Primary Amenorrhea Differential Diagnosis Framework Workup: • β-HCG, TSH and PRL • Breast Tanner Staging • FSH,
Workup: • β-HCG, TSH ... Tanner Staging • FSH
Diagnosis of Primary Amenorrhea A diagnostic approach to primary amenorrhea. (FSH = follicle-stimulating hormone; LH = luteinizing
(FSH = follicle-stimulating ... luteinizing hormone; TSH
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 A diagnostic approach to secondary amenorrhea. (DHEA-S = dehydroepiandrosterone sulfate; FSH = follicle-stimulating hormone; LH =
dehydroepiandrosterone sulfate; FSH ... resonance imaging; TSH
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 Causes of Female and Male Infertility - Differential Diagnosis Algorithm Causes of Female Infertility: • Uterus -
• Increased FSH ... • Decreased FSH ... • Decreased FSH ... hypogonadism) Low FSH ... problem) High FSH
Menstrual Cycle Physiology: Ovarian Cycle – Follicular Phase Explained Early Follicular Phase (Days 0-5) • Granulosa cells
hormone that 1) Incr FSH ... pituitary, 2) Incr FSH ... which would reduce FSH ... Resulting high FSH ... responsive to FSH
Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm Primary Amenorrhea - No onset of menarche
Etiology - High FSH ... Ovarian - Normal FSH ... Ovarian - High FSH ... challenge, Low FSH
Sellar / Pituitary Mass - Differential Diagnosis Algorithm Adenoma - Primary Anterior Pituitary - Secreting
• ACTH • TSH ... • LH/FSH
Menstrual Cycle Physiology: Ovarian Cycle – Brief Overview LH and FSH are required for follicular development and
Overview LH and FSH ... follicle - FSH ... produced -> Inhibit FSH
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