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diagnosis differential adrenal insufficiency workup acromegaly loss management testing acth alopecia braindeath breast criticalcare dermatology discharge gastroenterology gynecomastia hair hairloss
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... in the Evaluation ... • Low TSH, Low normal ... #algorithm #diagnosis ... #endocrinology
Hyperthyroidism - Differential Diagnosis Algorithm High/Normal Radioiodine Uptake - Autoimmune Thyroid Disease: • Grave's
Hyperthyroidism ... Differential Diagnosis Algorithm ... High/Normal Radioiodine ... #endocrinology ... #causes
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
High Prolactin + Normal ... High Prolactin + Normal ... TSH • Primary Hypothyroidism ... #Endocrinology ... #Causes
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Laboratory Evaluation ... Thyroid Disease Hyperthyroidism ... high; in some cases ... iodine uptake Hypothyroidism ... differential #diagnosis #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
- Evaluation of ... unclear (often the case ... Standard Stim test ... this indicates normal ... #Endocrinology
Hirsutism & Virilization - Differential Diagnosis Algorithm ADRENAL EXCESS Ovarian • Polycystic Ovarian Syndrome • Hyperthecosis • Tumor Adrenal
Differential Diagnosis Algorithm ... Idiopathic Hirsutism - Normal ... Medical/Other • Hypothyroidism ... #endocrinology ... #causes
Tall Stature - Differential Diagnosis Algorithm Normal Growth (BA=CA) • Familial Tall Stature • XYY Syndrome Obese BMI
Differential Diagnosis Algorithm ... Normal Growth ... Exogenous Obesity Normal ... #endocrinology ... #causes
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Algorithm Step ... may actually be normal ... Consider additional tests ... considered likely, the cause ... #Algorithm
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
Differential Diagnosis Algorithm ... Dwarfism) • Hypothyroidism ... Differential #Diagnosis #Algorithm ... #endocrinology ... #causes #pediatrics
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... ACTH) stimulation test ... insufficiency • Low or normal ... #endocrinology
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