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diagnosis amenorrhea causes differential endocrinology gynecology adrenal evaluation insufficiency interpretation primary tfts tsh
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
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Secondary Adrenal ... 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 ... Hyperprolactinemia • Hypothyroidism ... #Causes #OBGyn
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
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