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diagnosis differential causes endocrinology adrenal dermatology insufficiency generalized pruritus systemic acth amenorrhea amyloid amyloidosis bronchiectasis enzymes evaluation gynecology hepatology hyperthyroidism
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... this indicates normal ... adrenal function
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... liver blood tests ... urgent referral to secondary ... decision for repeat testing
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Diabetes Mellitus Liver ... Function Tests/ ... • Cholestatic liver ... #secondary #systemic
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
, hypoglycemia Testing ... ACTH) stimulation test ... baseline ACTH - Primary ... insufficiency • Low or normal ... baseline ACTH - Secondary
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... Tests in the Evaluation ... high T4 +/- T3 → Primary ... T3 → Central (secondary ... Hyperthyroidism #algorithm
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... autoimmune-mediated primary ... aldosterone - Often normal ... Insufficiency #Evaluation #laboratory ... #diagnosis #testing
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Differential Diagnosis Algorithm ... by age 16 with secondary ... age 14 without secondary ... Hypothalamic: • Functional
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Diabetes Mellitus Liver ... Function Tests/ ... • Cholestatic liver ... #Pruritus #secondary
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Differential Diagnosis Algorithm ... Abnormalities in primary ... or secondary hemostasis ... platelet function ... Fecal occult blood test
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
TB, NTM, PNA • Primary ... - BAR >1.0 is abnormal ... ) • Pulmonary function ... tests: obstructive ... Bronchoscopy Laboratory
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