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diagnosis differential endocrinology adrenal dermatology insufficiency generalized pruritus systemic amenorrhea evaluation gynecology obgyn petechiae petechial physicalexam rash stimulation test testing
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 ... #algorithm #diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... normal adrenal function ... #Test #Endocrinology
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Causes == Primary ... Mellitus Liver Function ... Tests/Enzymes: ... #secondary #systemic ... #causes
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... aldosterone - Low in cases ... autoimmune-mediated primary ... Secondary Adrenal ... Insufficiency #Evaluation #laboratory
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... ) stimulation test ... - Primary adrenal ... - Secondary adrenal
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Mellitus Liver Function ... Tests/Enzymes: ... #Pruritus #secondary ... #causes
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... age 14 without secondary ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism
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 ... or secondary hemostasis ... Fecal occult blood test
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