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diagnosis differential endocrinology dermatology generalized nephrology pruritus systemic table workup adrenal alkaline alp amenorrhea gynecology hepatology hyophosphatasia hypertension hyponatremia hypotonic
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
• Low TSH, Low ... T4 +/- T3 → Primary ... → Radioactive Iodine ... T3 → Central (secondary ... #algorithm #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... • Hyperthyroidism ... #secondary #systemic ... #causes
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... (correction of hypokalemia ... Oral sodium loading ... • Hyperthyroidism ... Acromegaly #Secondary
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... R - Primary aldosteronism ... High Al, High R - Secondary ... #nephrology #causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... baseline ACTH - Primary ... insufficiency • Low ... baseline ACTH - Secondary
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... • Insomnia Primary ... thyroiditis Secondary ... Diagnosis: • ↓ Low ... #causes #diagnosis
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 ... Etiology - High FSH, Low ... Hyperprolactinemia • Hypothyroidism
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... • Hyperthyroidism ... #Pruritus #secondary ... #generalized #dermatology ... #causes
Low Alkaline Phosphatase - Hypophosphatasia Is Low Alkaline Phosphatase Of Clinical Importance? ALP enzyme- Discovered in 1923 Low
pain • loss of secondary ... Wilson's disease • hypothyroidism ... Phosphatase: • Other causes ... • Elevation of urinary ... Hyophosphatasia #hepatology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Uosm), Hypothyroidism ... Present (Uosm ≥100): Hypovolemia ... water intake (Primary
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