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diagnosis differential endocrinology adrenal insufficiency amenorrhea gynecology obgyn acth bronchiectasis dermatology enzymes evaluation hepatology hyperthyroidism lfts liver petechiae petechial physicalexam
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
unclear (often the case ... then go to stim testing ... Standard Stim test ... 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 ... Hyperthyroidism: Work-up ... T3 → Central (secondary ... Hyperthyroidism #algorithm
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... urgent referral to secondary ... decision for repeat testing ... or referral to secondary
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 #workup
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... in primary or secondary ... platelet function ... deficiency Work ... Fecal occult blood test
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
Causes of Primary ... Differential Diagnosis Algorithm ... by age 16 with secondary ... age 14 without secondary ... Hypothalamic: • Functional
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 ... - BAR >1.0 is abnormal ... ) • Pulmonary function ... Bronchoscopy Laboratory
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