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adrenal differential approach arthritis evaluation hyperthyroidism management pain rheumatology acth coccidioidomycosis cushing fever hematology hyperfunction hyperthyroid infectiousdiseases interpretation laboratory perioperative
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Key teaching point ... Check pregnancy test ... workup choices ... #Algorithm #Workup ... #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... ACTH) stimulation test ... AND • Baseline ... #Algorithm #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
- Diagnosis and ... 60-90%), Muscle/joint ... A STIM test can ... ACTH STIM TEST: ... #Management #Endocrinology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... = Worry about late ... #Joint #Pain #MSK ... rheumatology #approach #workup ... #differential #diagnosis
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... cortisol 30 min AND ... #Algorithm #Diagnosis ... #Stimulation #Endocrinology
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
present both at rest ... hydroxyapatite) • Calcium oxalate ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Syndrome Testing Algorithm ... dexamethasone suppression test ... between 11 pm and ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... Hyperthyroidism: Work-up ... critical illness, and ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Algorithm Polycythemia ... We may ask why are ... you’ll do a good workup ... Best to have an ... #Algorithm #workup
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