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differential endocrinology hematology management adrenal clinical druginduced gastroenterology hepatology lupus mri physicalexam radiology rheumatology abdominalpain acth anemia antiphospholipid apls aseptic
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Evaluation Algorithm ... may actually be normal ... Consider additional tests ... considered likely, the cause ... #Workup #Evaluation
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... - Evaluation of ... unclear (often the case ... this indicates normal ... #Diagnosis #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... ACTH) stimulation test ... • Low or normal
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
1) Clinical clues ... FeCa <1 %) - Low normal ... Vit D • If all ... normal, move on ... #differential #diagnosis
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days) Exclude: 1. Causes of acute diarrhea 2. Lactose intolerance 3.
Evaluation of Chronic ... Causes of acute ... Bacterial overgrowth Normal ... Laxative abuse Normal ... #workup #diagnosis
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... aldosterone - Often normal ... #Evaluation #laboratory ... #diagnosis #testing ... endocrinology #workup
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... initial response to abnormal ... *Abnormal USS may ... #LFTs #Abnormal
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... in the Evaluation ... • Low TSH, Low normal ... • Low TSH, normal ... Scan • High or normal
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
CRP - Usually normal ... • Immunologic Workup ... Discontinuation of causal ... - CRP: Usually normal ... #rheumatology #diagnosis
TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura Activity of von Willebrand factor-cleaving protease activity - A
TTP - Laboratory Evaluation ... value is low, tests ... levels - Usually normal ... products or D-dimer - Normal ... #Workup #Hematology
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