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209
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diagnosis
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Algorithm Elevated
FSH
... Challenge •
Hypothyroidism
... •
Hyperthyroidism
... Hyperprolactinemia Organic
Cause
... endocrinology #
causes
• Increased
FSH
... • Decreased
FSH
... • Decreased
FSH
... hypogonadism) Low
FSH
... problem) High
FSH
Muscular Dystrophy (
FSH
... ,
FSHD
) #Bilateral ... Muscular #Dystrophy #
FSH
... #
FSHD
#clinical
►
• ACTH •
TSH
... • LH/
FSH
...
Hypothyroidism
) ... endocrinology #
causes
• Low
TSH
, Low ... • Low
TSH
, normal ... • Low
TSH
, high ... High or normal
TSH
... endocrinology #TFTs #
TSH
Causes
of Primary ... Etiology - High
FSH
... Ovarian - Normal
FSH
... Ovarian - High
FSH
... challenge, Low
FSH
Causes
of Secondary ... Ovarian - Normal
FSH
... Ovarian - High
FSH
... challenge, Low
FSH
... compression) •
Hypothyroidism
Workup: • β-HCG,
TSH
... Tanner Staging •
FSH
(
FSH
= follicle-stimulating ... luteinizing hormone;
TSH
►
Causes
of Orthopnea ... Ascites • COPD •
Hypothyroidism
... /
Hyperthyroidism
... SIeep apnea •
Hypothyroidism
... Differential #Diagnosis #
Causes
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