188 results
Diagnosis of Primary Amenorrhea
A diagnostic approach to primary amenorrhea. (FSH = follicle-stimulating hormone; LH = luteinizing
(FSH = follicle-stimulating ... luteinizing hormone; TSH ... = thyroid-stimulating
A diagnostic approach to secondary amenorrhea. (DHEA-S = dehydroepiandrosterone sulfate; FSH = follicle-stimulating hormone; LH =
dehydroepiandrosterone sulfate; FSH ... resonance imaging; TSH ... = thyroid-stimulating
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
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
Causes of Primary ... Etiology - High FSH ... Ovarian - Normal FSH ... Ovarian - High FSH ... challenge, Low FSH
Primary Amenorrhea Differential Diagnosis Framework

Workup:
 • β-HCG, TSH and PRL
 • Breast Tanner Staging
 • FSH,
Workup: • β-HCG, TSH ... Tanner Staging • 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
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
of Patients for Thyroid ... high; in some cases ... iodine uptake; thyroid ... iodine uptake; thyroid ... and thyroid hormones
Hyperthyroidism - Differential Diagnosis Algorithm
High/Normal Radioiodine Uptake
 - Autoimmune Thyroid Disease:
    • Grave's
- Autoimmune Thyroid ... Positive anti-TSH ... - Autonomous Thyroid ... • Excessive Thyroid ... endocrinology #causes
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
• ACTH • TSH ... • LH/FSH ... endocrinology #causes