13 results
diagnosis differential adrenal amenorrhea insufficiency acth gynecology obgyn acromegaly breast discharge evaluation gynecomastia htn hypertension laboratory management nephrology pathophysiology primary
Causes of Secondary Amenorrhea - Differential Diagnosis • Pregnancy • Endocrinopathies: PCOS, Hypothyroidism • HPA Dysfunction:
Causes of Secondary ... Endocrinopathies: PCOS, Hypothyroidism ... Strenuous exercise, Eating ... BrighamChiefs #Secondary ... #endocrinology
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Differential Diagnosis Algorithm ... • Hyperthyroidism ... • Weight Loss, Eating ... #endocrinology ... #causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... baseline ACTH - Secondary ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... #ACTH #Stimulation ... #Test #Endocrinology
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Pregnancy, Breast Stimulation ... TSH • Primary Hypothyroidism ... #Endocrinology ... #Causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... Renin-Angiotensin stimulation ... : • Hyperthyroidism ... Differential #Diagnosis #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
thyroiditis Secondary ... T4 • Thyroid stimulating ... Atrial fibrillation/flutter ... #causes #diagnosis ... #differential #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... consistent with secondary ... Insufficiency #Algorithm ... #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... antibody test Secondary ... test - If the secondary ... laboratory #diagnosis #testing ... #endocrinology
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
Differential Diagnosis Algorithm ... Decreased TSH • Hyperthyroidism ... • Non-Tumor Secondary ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
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