363 results
Primary Amenorrhea Differential Diagnosis Framework

Workup:
 • β-HCG, TSH and PRL
 • Breast Tanner Staging
 • FSH,
Workup: • β-HCG, TSH ... Tanner Staging • FSH ... Diagnosis #pediatrics #obgyn
Bilateral Winged Scapula on Physical Exam - Seen in Facioscapulohumeral Muscular Dystrophy (FSH, FSHD)

#Bilateral #Winged #Scapula
Muscular Dystrophy (FSH ... , FSHD) #Bilateral ... Muscular #Dystrophy #FSH ... #FSHD #clinical
Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm
Primary Amenorrhea - No onset of menarche
Etiology - High FSH ... Ovarian - Normal FSH ... Ovarian - High FSH ... challenge, Low FSH ... Algorithm #Causes #OBGyn
Causes of Female and Male Infertility - Differential Diagnosis Algorithm
Causes of Female Infertility:
 • Uterus -
• Increased FSH ... • Decreased FSH ... • Decreased FSH ... hypogonadism) Low FSH ... problem) High FSH
Menstrual Cycle Physiology: Ovarian Cycle – Follicular Phase Explained
Early Follicular Phase (Days 0-5)
 • Granulosa cells
hormone that 1) Incr FSH ... pituitary, 2) Incr FSH ... Resulting high FSH ... responsive to FSH ... Incr FSH receptors
Diagnosis of Primary Amenorrhea
A diagnostic approach to primary amenorrhea. (FSH = follicle-stimulating hormone; LH = luteinizing
(FSH = follicle-stimulating ... luteinizing hormone; TSH
A diagnostic approach to secondary amenorrhea. (DHEA-S = dehydroepiandrosterone sulfate; FSH = follicle-stimulating hormone; LH =
dehydroepiandrosterone sulfate; FSH ... resonance imaging; TSH
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm
Absence of menses for more than 3 cycles or
Ovarian - Normal FSH ... Ovarian - High FSH ... challenge, Low FSH ... Algorithm #Causes #OBGyn
Menstrual Cycle Physiology: Ovarian Cycle – Brief Overview
LH and FSH are required for follicular development and
Overview LH and FSH ... follicle - FSH ... produced -> Inhibit FSH
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
• ACTH • TSH ... • LH/FSH