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diagnosis differential causes endocrinology dermatology fuo generalized primary pruritus systemic acromegaly addisons adrenal disease echocardiogram hematology hypertension hyperthyroid idsa infectiveendocarditis
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... : Work-up similar ... to hyperthyroidism ... T3 → Central (secondary ... #algorithm #diagnosis
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
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... Acromegaly #Secondary ... Causes #Screening #Workup
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Liver Function Tests ... TSH & T4: • Hypothyroidism ... • Hyperthyroidism ... Pruritus #primary #secondary
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
Fever of Unknown ... FUO) - Further Workup ... Returning Traveler’ algorithm ... Test for the respective ... UnknownOrigin #workup
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
disorder - Primary hypothyroidism ... • Low-grade fever ... Palmar creases - Extensor ... clue • Blood tests ... ACTH stimulation test
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Differential Diagnosis Algorithm ... Liver Function Tests ... TSH & T4: • Hypothyroidism ... • Hyperthyroidism ... #Pruritus #secondary
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Differential Diagnosis Algorithm ... in primary or secondary ... Red Flags: • Fever ... deficiency Work ... Fecal occult blood test
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... • Additional tests ... DrEricStrong #FUO #Algorithm ... #Fever #Unknown
Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal echocardiography; and
a patient with fever ... of perivalvular extension ... , or secondary ventricular ... dysfunction (see text ... Echocardiogram #TTE #TEE #Algorithm
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