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diagnosis differential dermatology amenorrhea endocrinology generalized gynecology obgyn pruritus systemic acth adrenal hyperthyroidism insufficiency petechiae petechial physicalexam rash stimulation test
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... T4 +/- T3 → Primary ... T3 → Central (secondary ... Hyperthyroidism #algorithm ... #Interpretation
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Causes == Primary ... Mellitus Liver Function ... failure/uremia TSH ... #secondary #systemic ... #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 ... by age 16 with secondary ... age 14 without secondary ... Etiology - High FSH ... 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
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... Abnormalities in primary ... or secondary hemostasis ... anti-streptolysin O titre • Measurement
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Mellitus Liver Function ... failure/uremia TSH ... #Pruritus #secondary ... #causes
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