12 results
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Thyroid Function Tests ... high T4 +/- T3 → Primary ... Hyperthyroidism ... #algorithm #diagnosis ... #endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
hypothyroidism ... • Low-grade fever ... Palmar creases - Extensor ... clue • Blood tests ... addisons #disease #endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... Check pregnancy test ... #Hyperthyroidism ... #Workup #Endocrinology
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Differential Diagnosis Algorithm ... Liver Function Tests ... TSH & T4: • Hypothyroidism ... • Hyperthyroidism ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... Differentiate primary ... consistent with primary ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... , only seen in PRIMARY ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism ... • Insomnia Primary ... goiter • Toxic diffuse ... arrhythmia - Fever ... #differential #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... ACTH) stimulation test ... baseline ACTH - Primary ... Differential #Diagnosis #Algorithm ... #endocrinology
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm

Blood Glucose:
 • Diabetes Mellitus
Liver Function Tests/Enzymes:
Pruritus - No Primary ... Differential Diagnosis Algorithm ... Liver Function Tests ... TSH & T4: • Hypothyroidism ... • Hyperthyroidism