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diagnosis differential dermatology hematology endocrinology generalized insufficiency pruritus secondary systemic acth anemia bleeding bruising elevatedmcv evaluation hepatitis hepatology injury macrocytic
Causes of Anemia with elevated Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Normal Blood Smear •
Causes of Anemia ... Liver Function ... Deficiency - Abnormal ... Liver Function ... Tests • Liver
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Systemic and Primary Causes ... Function Tests/ ... BUN: • Chronic renal ... #causes
Causes of Bleeding / Bruising - Differential Diagnosis Algorithm Thrombocytopenia - Quantitative Defect • Decreased Production •
Causes of Bleeding ... Destruction • Abnormal ... Disordered Platelet Function ... ASA) • Renal Disease ... Iatrogenic) • Liver
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... this indicates normal ... adrenal function
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... aldosterone - Low in cases ... aldosterone - Often normal ... Insufficiency #Evaluation #laboratory ... endocrinology #workup
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Differential Diagnosis Algorithm ... Vascular Causes ... extrahepatic source - Tests ... of synthetic function ... may be abnormal
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... platelet function ... deficiency Work ... Fecal occult blood test
TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura Activity of von Willebrand factor-cleaving protease activity - A
TTP - Laboratory ... value is low, tests ... indirect antiglobulin tests ... the presence of renal ... ThromboticThrombocytopenicPurpura #Diagnosis #Workup
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Diabetes Mellitus Liver ... Function Tests/ ... • Cholestatic liver ... BUN: • Chronic renal ... #causes
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