10 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
the ankle jerk reflex ... and laboratory evaluation ... confirmed a diagnosis ... Delayed #Clinical #Video ... #Neurology #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Function Tests in the Evaluation ... : Work-up similar ... weeks after the resolution ... #algorithm #diagnosis ... #endocrinology
Evaluation of Secondary Hypertension
 • Primary aldosteronism - PRA, PAC
 • Renal artery stenosis - Renal
Evaluation of Secondary ... - PRA, PAC • Renal ... metanephrines • Hypothyroidism ... TSH, T3, fT4 • Hyperthyroidism ... #workup #diagnosis
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
abolished tendon reflexes ... (shown in the video ... percussion by the reflex ... PhysicalExam #clinical #video ... #neurology #endocrinology
Approach to Adrenal Incidentaloma - Workup
Step 1: Image Evaluation
Step 2: Hormonal Assessment

Dr. Gabriela Pucci @gabifpucci and
Approach to Adrenal ... Incidentaloma - Workup ... Step 1: Image Evaluation ... Incidentaloma #Workup ... #diagnosis #endocrinology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... • SIADH • hypothyroidism ... • adrenal insufficiency ... #Nephrology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... • Adrenal Medulla ... mendesthiagob #Adrenal ... #Diagnosis #workup ... #endocrinology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... → Refer to Nephrology ... for renal biopsy ... to Nephrology if
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... Approach (when evaluation ... Vasculitis • Endocrinologic ... : Hypothyroidism
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... Insufficiency #Evaluation ... #laboratory #diagnosis ... #testing #endocrinology ... #workup