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diagnosis differential amenorrhea endocrinology gynecology obgyn acth adrenal dermatology enzymes hepatology hyperthyroidism insufficiency lfts liver petechiae petechial physicalexam primary rash
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... • Low TSH, normal ... T3 → Central (secondary ... endocrinology #TFTs ... #TSH #Interpretation
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
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 ... this indicates normal ... adrenal function
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... in primary or secondary ... platelet function ... anti-streptolysin O titre • Measurement
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
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 ... #LFTs #Abnormal
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