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diagnosis differential amenorrhea gynecology obgyn acth adrenal hyponatremia hypotonic insufficiency nephrology physiologic primary secondary sodium stimulation test tfts tsh
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
• Hyperthyroidism ... Challenge • Functional ... • Weight Loss, Eating ... #endocrinology ... #causes
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... Evaluation of Hyperthyroidism ... #algorithm #diagnosis ... #endocrinology ... #TFTs #TSH #Interpretation
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 ... normal adrenal function ... Stimulation #Test #Endocrinology
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Differential Diagnosis Algorithm ... Hypothalamic: • Functional ... (e.g. eating disorder ... Hyperprolactinemia • Hypothyroidism
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... estrogen: • Functional ... (e.g. eating disorder ... compression) • Hypothyroidism ... #Causes #OBGyn
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... or low Uosm), Hypothyroidism ... Cerebral Salt Wasting ... differential #diagnosis #table
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