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diagnosis differential endocrinology adrenal insufficiency dermatology generalized pruritus systemic workup acromegaly acth amenorrhea evaluation gynecology hypertension laboratory management obgyn pathophysiology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Renal ultrasound, Tests ... sodium loading test ... saline infusion test ... dexamethasone suppression test
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Causes == Primary ... Liver Function Tests ... failure/uremia TSH ... #secondary #systemic ... #causes
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... ACTH stimulation test ... stimulation test ... - Serum tests that ... laboratory #diagnosis #testing
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 ... Standard Stim test ... #Stimulation #Test
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... baseline ACTH - Primary ... baseline ACTH - Secondary
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Liver Function Tests ... failure/uremia TSH ... #Pruritus #secondary ... #causes
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... age 14 without secondary ... Etiology - High FSH ... #Causes #OBGyn
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
Mortality due to CVD ... Acromegaly occurs secondary ... glucose suppression test ... • Pituitary testing ... or refractory cases
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