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diagnosis differential amenorrhea endocrinology secondary dermatology generalized gynecology obgyn pruritus systemic acth adrenal bronchiectasis hyperthyroidism hypokalemia insufficiency nephrology pulmonary stimulation
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... • Low TSH, normal ... T4 +/- T3 → Primary ... Hyperthyroidism #algorithm ... #Interpretation
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... Mellitus Liver Function ... failure/uremia TSH ... #causes
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Differential Diagnosis Algorithm ... Elevated FSH ... Challenge • Functional ... • Weight Loss, Eating ... endocrinology #causes
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 ... Differential Diagnosis Algorithm ... Etiology - High FSH ... Hypothalamic: • Functional ... (e.g. eating disorder
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
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic inflammation causes ... Most Common Causes ... TB, NTM, PNA • Primary ... ) • Pulmonary function ... Bronchoscopy Laboratory
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Differential Diagnosis Algorithm ... Mellitus Liver Function ... failure/uremia TSH ... #causes
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... confirmed via genetic testing ... continued in most cases ... ; interpretation ... dependent upon local laboratory
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