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diagnosis differential endocrinology adrenal amenorrhea gynecology insufficiency acth dermatology evaluation hyperthyroidism petechiae petechial physicalexam rash stimulation test tfts tsh
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 ... normal adrenal function ... Insufficiency #Diagnosis #Algorithm
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 ... #Causes #OBGyn
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Abnormalities in primary ... or secondary hemostasis ... Rash: - ITP - APLS ... deficiency Work
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... Hyperthyroidism: Work-up ... high T4 +/- T3 → Primary ... T3 → Central (secondary ... Hyperthyroidism #algorithm
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... Differential Diagnosis Algorithm ... estrogen: • Functional ... (e.g. eating disorder ... #Causes #OBGyn
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
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