29 results
Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm
Primary Amenorrhea - No onset of menarche
Causes of Primary ... Differential Diagnosis Algorithm ... FSH, Low estrogen ... Differential #Diagnosis #Algorithm ... #Causes #OBGyn
Amenorrhea - Differential Diagnosis Algorithm
Elevated FSH
 • Premature Ovarian Failure
 • Menopa use
 • Spontaneous
Bleed With
Diagnosis Algorithm ... Hyperprolactinemia Organic Cause ... • Weight Loss, Eating ... Differential #Diagnosis #Algorithm ... endocrinology #causes
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... Baseline plasma ACTH Low ... • Low or normal
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm
Absence of menses for more than 3 cycles or
Causes of Secondary ... Amenorrhea - Differential ... Diagnosis Algorithm ... FSH, Low estrogen ... Functional (e.g. eating
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm
No onset of menarche by age 16 with secondary
Causes of Primary ... Amenorrhea - Differential ... Diagnosis Algorithm ... Etiology - High FSH, Low ... #Causes #OBGyn
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... primary AI - Low
The Diagnostic Approach to Hyperkalemia
Drugs
 - Amiloride
 - Spironolactone
 - Triamterene
 - Trimethoprim
 - Pentamidine
 -
inhibitors Other causes ... Primary adrenal insufficiency ... Ketoconazole Low ... #Hyperkalemia #Algorithm ... #differential #causes
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Primary polydipsia, Low ... intake, Renal insufficiency ... #differential #algorithm ... #causes #nephrology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... specificity for AI (but low ... require Cosyntropin testing ... - Low ACTH is
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Beer Potomania - Low ... Hypothyroidism, adrenal insufficiency ... Differential #Diagnosis #Algorithm ... #causes #nephrology