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diagnosis differential adrenal dermatology insufficiency acth generalized pruritus stimulation systemic amenorrhea bigtrauma gynecology hyperthyroidism management obgyn petechiae petechial physicalexam rash
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
unclear (often the case ... Standard Stim test ... Measure cortisol before ... normal adrenal function ... #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... Tests in the Evaluation ... high T4 +/- T3 → Primary ... T3 → Central (secondary ... Hyperthyroidism #algorithm
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Causes == Primary ... Mellitus Liver Function ... Tests/Enzymes: ... #secondary #systemic ... #causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... ACTH) stimulation test ... baseline ACTH - Primary ... baseline ACTH - Secondary ... #endocrinology
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 ... Hypothalamic: • Functional ... #Causes #OBGyn
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... - Check ACTH before ... Differentiate primary ... vs secondary AI ... #Stimulation #Endocrinology
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... Abnormalities in primary ... or secondary hemostasis ... Fecal occult blood test
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Mellitus Liver Function ... Tests/Enzymes: ... #Pruritus #secondary ... #causes
Efforts to standardize the approach to trauma have led to an algorithmic, thoughtless approach to trauma
have led to an algorithmic ... fantastically useful test ... resuscitation and the primary ... Trauma #BigTrauma #BeforeCT ... #Checklist #Resuscitation
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