32 results
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
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
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
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
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
Primary Amenorrhea Differential Diagnosis Framework

Workup:
 • β-HCG, TSH and PRL
 • Breast Tanner Staging
 • FSH,
Tanner Staging • FSH
Diagnosis of Primary Amenorrhea
A diagnostic approach to primary amenorrhea. (FSH = follicle-stimulating hormone; LH = luteinizing
(FSH = follicle-stimulating