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diagnosis differential amenorrhea adrenal dermatology generalized gynecology insufficiency obgyn primary pruritus systemic acromegaly acth gynecomastia hyperthyroidism management pathophysiology stimulation test
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... T3 → Central (secondary ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology ... #TFTs #TSH #Interpretation
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Elevated FSH ... Challenge • Functional ... • Weight Loss, Eating ... #endocrinology ... #causes
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 Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... Differential Diagnosis Algorithm ... estrogen: • Functional ... (e.g. eating disorder ... #Causes #OBGyn
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Systemic and Primary Causes ... Mellitus Liver Function ... failure/uremia TSH ... Pruritus #primary #secondary ... #causes
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
Differential Diagnosis Algorithm ... T4, Decreased TSH ... Normal T4 and TSH ... • Non-Tumor Secondary ... #causes #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... baseline ACTH - Secondary ... #endocrinology
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
by age 16 with secondary ... age 14 without secondary ... Etiology - High FSH ... Hypothalamic: • Functional ... #Causes #OBGyn
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Differential Diagnosis Algorithm ... Mellitus Liver Function ... failure/uremia TSH ... #Pruritus #secondary ... #causes
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
Acromegaly occurs secondary ... • Pituitary testing ... adenoma, ↓(TFT, LH, FSH ... or refractory cases ... Diagnosis #Management #Endocrinology
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