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diagnosis differential endocrinology adrenal insufficiency amenorrhea gynecology hypertension obgyn primary acromegaly acth cardiology dermatology evaluation htn interpretation management pathophysiology petechiae
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... • Low TSH, Low normal ... : Work-up similar ... T3 → Central (secondary ... #algorithm #diagnosis
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... and Screening Testing ... • Hyperthyroidism ... Acromegaly #Secondary ... #Screening #Workup
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Differential Diagnosis Algorithm ... Mislabelled - Repeatedly normal ... taken at home, work ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... this indicates normal
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... aldosterone - Often normal ... Insufficiency #Evaluation #laboratory ... #diagnosis #testing ... endocrinology #workup
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Differential Diagnosis Algorithm ... by age 16 with secondary ... age 14 without secondary ... • Vanishing Testes ... Hyperprolactinemia • Hypothyroidism
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... 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 ... Differential Diagnosis Algorithm ... Functional (e.g. eating ... compression) • Hypothyroidism ... #Causes #OBGyn
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... in primary or secondary ... deficiency Work ... Fecal occult blood test
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
Acromegaly occurs secondary ... pseudo-acromegaly, obesity, hypothyroidism ... Diagnosis and Workup ... glucose suppression test ... • Pituitary testing
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