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diagnosis differential endocrinology adrenal insufficiency amenorrhea gynecology hepatology obgyn acromegaly acth bleeding bronchiectasis bruising dermatology enzymes gastroenterology hematology hemochromatosis hemostasis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
- Evaluation of ... unclear (often the case ... then go to stim testing ... this indicates normal ... adrenal function
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... Tests in the Evaluation ... T3 → Central (secondary ... Hyperthyroidism #algorithm ... endocrinology #TFTs #TSH #Interpretation
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... indicate the initial evaluation ... urgent referral to secondary ... decision for repeat testing
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Algorithm INDICATIONS ... acral features, abnormal ... gland and consider evaluation ... other pituitary functions ... #Algorithm #diagnosis
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... aldosterone - Often normal ... Insufficiency #Evaluation ... #laboratory #diagnosis ... #testing #endocrinology
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 ... insufficiency • Low or normal ... baseline ACTH - Secondary
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 ... Hypothalamic: • Functional ... #Causes #OBGyn
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... in primary or secondary ... platelet function ... Fecal occult blood test
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
Bleeding and Bruising - Disorders of Hemostasis - Differential Diagnosis Framework == Quantitative or Qualitative defect in
cascade is intact - test ... discern these causes ... are liver function ... tests (if not already ... fibrinogen levels, and testing
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