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diagnosis differential signs symptoms adrenal cushings gynecomastia hypercortisolism hypertension indications insufficiency interpretation management pathophysiology syndrome tallstature tfts thyroid treatment tsh
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
• Low TSH, Low normal ... Can repeat labs ... T3 → Central (secondary ... #algorithm #diagnosis ... #endocrinology
Tall Stature - Differential Diagnosis Algorithm Normal Growth (BA=CA) • Familial Tall Stature • XYY Syndrome Obese BMI
Normal Growth ... Exogenous Obesity Normal ... Resistance • Acromegaly ... #endocrinology ... #causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyperpigmentation, hypoglycemia ... insufficiency • Low or normal ... baseline ACTH - Secondary ... #endocrinology
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
Differential Diagnosis Algorithm ... Decreased TSH • Hyperthyroidism ... Germ Cell Tumor Normal ... • Non-Tumor Secondary ... #causes #endocrinology
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
thyroiditis Secondary ... Hypotension • Labs ... hypercalcemia, Hyperglycemia ... #causes #diagnosis ... #differential #endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary ... previously stable values ... Vasculitis • Endocrinologic ... : Hypothyroidism ... Cushing's syndrome, Acromegaly
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
occurs secondary ... , obesity, hypothyroidism ... IGF-1 equivocal: Oral ... or refractory cases ... Diagnosis #Management #Endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
• Acne • If secondary ... areas that are not normally ... menstrual cycles 5) Secondary ... 8) Cataracts Labs ... signs #symptoms #endocrinology
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