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diagnosis differential causes endocrinology adrenal amenorrhea gynecology insufficiency obgyn acth amyloid amyloidosis cardiology dyslipidemia hematology htn hyperlipidemia hypertension hyperthyroidism hypogonadism
Flow Volume Loops - Common Patterns A. Normal B. Emphysema C. Unilateral Main Stem Bronchial Obstruction D. Fixed Upper Airway
Flow Volume Loops ... Normal B. ... Stem Bronchial Obstruction ... Diagnosis #PFTs #Spirometry ... #FlowVolume #Loops
Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm Primary Amenorrhea - No onset of menarche
Differential Diagnosis Algorithm ... • Ovarian - Normal ... Outflow Tract Obstruction ... #Primary #Secondary ... Differential #Diagnosis #Algorithm
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Abnormal Lipid Profiles ... Differential Diagnosis Algorithm ... Deficiency • Primary ... Hypothyroid • Obstructive ... #Dyslipidemia #Abnormal
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Primary and Secondary ... Differential Diagnosis Algorithm ... Mislabelled - Repeatedly normal ... coarctation • Obstructive ... Differential #Diagnosis #Algorithm
Hypogonadism Differential Diagnosis Algorithm • Low testosterone, Normal or low LH, Normal or low FSH -
Differential Diagnosis Algorithm ... , Normal or low ... LH, Normal or low ... FSH - Secondary ... Elevated FSH - Primary
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
TSH, Low normal ... • Low TSH, normal ... T4 +/- T3 → Primary ... Scan • High or normal ... T3 → Central (secondary
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... OR secondary AI ... this indicates normal ... AI - Low = secondary ... Insufficiency #Diagnosis #Algorithm
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Differential Diagnosis Algorithm ... R - Primary aldosteronism ... High Al, High R - Secondary ... Hyperplasia • Normal ... Al, Normal R -
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... baseline ACTH - Primary ... insufficiency • Low ... or normal baseline ... ACTH - Secondary
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... menstruating Ovarian - Normal ... progesterone challenge, normal ... FSH, Low estrogen ... Outflow Tract Obstruction
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