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diagnosis algorithm adrenal insufficiency primary workup hypertension management neurology dermatology signs symptoms acth generalized hematology hyperthyroidism otolaryngology otology pathophysiology physicalexam
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hormone (ACTH) stimulation ... test AND • Baseline ... baseline ACTH - Secondary ... Diagnosis #Algorithm #endocrinology
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake Reduced uptake: • Thyroiditis • Exogenous
Differentiation of Causes ... Excess thyroid-stimulating ... hormone stimulation ... radionuclide #uptake #differential ... hyperthyroidism #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... Secondary Adrenal ... test - If the secondary ... secretion; in chronic secondary ... diagnosis #testing #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
of primary OR secondary ... unclear (often the case ... Standard Stim test ... Algorithm #ACTH #Stimulation ... #Test #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
: Cosyntropin Stimulation ... Step 3) Differentiate ... primary vs secondary ... consistent with secondary ... #Endocrinology
Causes of Secondary Amenorrhea - Differential Diagnosis • Pregnancy • Endocrinopathies: PCOS, Hypothyroidism • HPA Dysfunction:
Causes of Secondary ... Amenorrhea - Differential ... #Amenorrhea #Differential ... #Diagnosis #Causes ... #endocrinology
Causes and Pathophysiology of Hypertension #Causes #Pathophysiology #Hypertension #Primary #Essential #Secondary #Differential ** GrepMed Recommended Text: Guyton and
Causes and Pathophysiology ... Hypertension #Causes ... Primary #Essential #Secondary ... #Differential ... GrepMed Recommended Text
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Breast Discharge - Differential ... Pregnancy, Breast Stimulation ... Breast #Discharge #Differential ... Diagnosis #Algorithm #Endocrinology ... #Causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Secondary Causes ... Hypertension - Differential ... 3+) Consider secondary ... Renin-Angiotensin stimulation ... #Nephrology #Differential
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... Renal ultrasound, Tests ... Acromegaly #Secondary ... #Hypertension #Differential
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