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diagnosis differential algorithm endocrinology pathophysiology causes amenorrhea clinical menstrualcycle obgyn video gynecology neurology ovariancycle primary primarycare testosterone fsh infertility physicalexam
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
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 Facioscapulohumeral Muscular Dystrophy (FSH, FSHD) Young man with left sided wasting. On examination with prominent axillary folds
Muscular Dystrophy (FSH ... , FSHD) Young ... Muscular #Dystrophy #FSH ... #FSHD #clinical
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 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 ... which would reduce FSH ... Resulting high FSH ... responsive to FSH
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
Beevor's Sign on Physical Exam Beevor's sign is abnormal upward (cephalad) movement of the umbilicus with truncal
muscular dystrophy (FSHD
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 Hypogonadism Differential Diagnosis Algorithm • Low testosterone, Normal or low LH, Normal or low FSH -
Normal or low FSH ... Normal LH, Normal FSH ... Normal LH, Elevated FSH ... Elevated LH, Elevated FSH
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
Diagnosis of Primary Amenorrhea A diagnostic approach to primary amenorrhea. (FSH = follicle-stimulating hormone; LH = luteinizing
(FSH = follicle-stimulating
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 Primary Amenorrhea Differential Diagnosis Framework Workup: • β-HCG, TSH and PRL • Breast Tanner Staging • FSH,
Tanner Staging • FSH
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