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diagnosis differential amenorrhea dermatology endocrinology generalized gynecology obgyn primary pruritus systemic gynecomastia histiocytosis langerhans lch management tfts
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... • Low TSH, Low ... • Low TSH, normal ... • Low TSH, high ... #Interpretation
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Systemic and Primary Causes ... Mellitus Liver Function ... failure/uremia TSH ... Pruritus #primary #secondary ... #causes
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... FSH, Low estrogen ... : • Functional ... lymphoma, Langerhans cell ... compression) • Hypothyroidism
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
T4, Decreased TSH ... • Hyperthyroidism ... Normal T4 and TSH ... • Non-Tumor Secondary ... #causes #endocrinology
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Mellitus Liver Function ... failure/uremia TSH ... • Hyperthyroidism ... #Pruritus #secondary ... #causes
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Etiology - High FSH ... , Low Estrogen: ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism
Langerhans Cell Histiocytosis (LCH) Granulomatous Lesions comprising langerin-positive histiocytes and an inflammatory infiltrate can arise in virtually
or autoimmune – now ... Single-System (Low ... Birbeck granules (EM ... • Laboratory Tests ... to assess organ function
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