2 results
Primary Amenorrhea Differential Diagnosis Framework

Workup:
 • β-HCG, TSH and PRL
 • Breast Tanner Staging
 • FSH,
Primary Amenorrhea ... β-HCG, TSH and PRL ... LH • Pelvic Ultrasound ... #pediatrics #obgyn ... #gynecology #algorithm
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Approach to Elevated ... Gas) (-) Likely Metabolic ... Contraction Urine Cl ... Mineralocorticoid • Primary ... #algorithm #diagnosis