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diagnosis endocrinology pathophysiology behavioraldisorder management psychiatry signs symptoms acidosis acth adrenal algorithm alkalosis amenorrhea anxiety arthritis causes checklist daily differential
Menstrual Cycle Physiology: The Hypothalamic-Pituitary-Ovarian Axis Estrogen, when released: • Negatively feeds back on the hypothalamus and
pathophysiology #HPOA
1 Consumption of organic anions 2 Demineralization 3 Lactate, dissociated fatty acids, etc. Metabolism Ht consumptiont cos- РО}- HPOT HCO3 Hyperventilation CO, output with expiration† 6 Vomiting Нуро- kalemia Нуро- volemia H HCO; 4 ЗНСОз Nat 5 Na Proximal tubules Hypopara-thyroidism Aldosteronet 7 Liver failure Urea Distal nephron NH4 Cys •- Met
consumptiont cos- РО}- HPOT
Stress Dose Steroids - Indications and Dosing SUPPRESSED HPA AXIS: prednisone >20mg/day x 3 weeks or more
Dosing SUPPRESSED HPA
Causes of Secondary Amenorrhea - Differential Diagnosis • Pregnancy • Endocrinopathies: PCOS, Hypothyroidism • HPA Dysfunction:
Hypothyroidism • HPA
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Evaluation of HPA
Intern Pocket Cards - Daily Rounding and Disposition Checklist Daily Checklist: • FEN/GI:
Update family/DPOA
Arthritis of the Hand - Arthritis Patterns Osteoarthritis: • Osteoarthritis of the hand usually involves the DIP and
Thyroid acropachy • HOA
Panic Disorder: Pathogenesis and clinical findings Social Factors • Parenting and infant attachment • Childhood illness/abuse •
hypothalamic-pituitary-adrenal (HPA
1 Formation of organic acids Lactate, dissociated fatty acids, acetic acids, etc. Metabolism H formationt 4 Hyperkalemia ЗНСО, Na 2 Mineralization 3 Hypoventilation CO; POA 3- HCO; 6 CO, output # with expiration Diarrhea 5 H*- Proximal tubule Renal
Hypoventilation CO; POA
Social Anxiety Disorder (SAD) - Pathophysiology Excessive fear of one or more social situations • Safety
Nervous System & HPA
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