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diagnosis differential endocrinology adrenal insufficiency hypertension secondary table acth amenorrhea bronchiectasis cardiology dermatology evaluation gynecology htn hyponatremia hypotonic interpretation nephrology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
and Screening Testing ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... repaired) • Primary ... #Screening #Workup
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 ... high T4 +/- T3 → Primary ... #algorithm #diagnosis
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
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Differential Diagnosis Algorithm ... • Vanishing Testes ... Hyperprolactinemia • Hypothyroidism ... #Causes #OBGyn
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 ... baseline ACTH - Primary ... insufficiency • Low or normal
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... autoimmune-mediated primary ... Insufficiency #Evaluation #laboratory ... #diagnosis #testing ... endocrinology #workup
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic inflammation causes ... Most Common Causes ... TB, NTM, PNA • Primary ... - BAR >1.0 is abnormal ... Bronchoscopy Laboratory
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... Abnormalities in primary ... deficiency Work ... Fecal occult blood test
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... remember than the normal ... volume-based algorithm ... or low Uosm), Hypothyroidism ... water intake (Primary
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