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diagnosis adrenal differential insufficiency causes hyperthyroidism acth ai breast discharge gh growthhormone interpretation prl prolactin secondary sellarmass stimulation tfts tsh
Feedback Loop: Prolactin (PRL) • PRL levels exhibit diurnal, menstrual, and age-related variation • TRH has
Prolactin #PRL #FeedbackLoop ... #endocrinology ... #pathophysiology ... #pituitary
Feedback Loop: Growth Hormone (GH) Growth Hormone: • Liver -> GHR activates JAK-STAT pathway -> Incr IGF1
GrowthHormone #GH #FeedbackLoop ... #endocrinology ... #pathophysiology ... #pituitary
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm Primary Adrenal Insufficiency: • Autoimmune primary adrenal insufficiency • Adrenoleukodystrophy,
Diagnosis Workup Algorithm ... Primary Adrenal ... • Autoimmune primary ... ACTH-deficiency • Combined pituitary ... #endocrinology
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Normal/ Low TSH • Pituitary ... Inhibition • Pituitary ... + High TSH • Primary ... #Endocrinology
Primary vs Secondary Adrenal Insufficiency - Pathophysiology Primary AI = adrenal glands themselves are the problem. This
Primary vs Secondary ... Insufficiency - Pathophysiology ... Secondary AI = the pituitary ... Insufficiency #Pathophysiology ... #endocrinology
Sellar / Pituitary Mass - Differential Diagnosis Algorithm Adenoma - Primary Anterior Pituitary - Secreting
Sellar / Pituitary ... Differential Diagnosis Algorithm ... Adenoma - Primary ... Differential #Diagnosis #Algorithm ... #endocrinology
Primary Hyperthyroidism - Pathogenesis and Clinical Findings Note: Although rare, gestational diseases can lead to thyrotoxicosis due
Primary Hyperthyroidism ... production by the pituitary ... Pretibial myxedema #Primary ... Hyperthyroidism #endocrinology ... #pathophysiology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Differential Diagnosis Algorithm ... Secondary): • Pituitary ... ACTH-Independent (Primary ... Differential #Diagnosis #Algorithm ... #Causes #endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
high T4 +/- T3 → Primary ... Hyperthyroidism → MRI Pituitary ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Differentiate primary ... . problem with pituitary ... consistent with primary ... #Stimulation #Endocrinology
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