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diagnosis differential insufficiency evaluation hyperthyroidism acth causes celiac cushing gastroenterology hematology highcalcium hypercalcemia hyperfunction hypertension hyperthyroid interpretation laboratory perioperative polycythemia
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... between 11 pm and ... #endocrinology ... #Adrenal #Hyperfunction
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... Check pregnancy test ... affects diagnostic workup ... Hyperthyroid #Diagnosis #Algorithm ... #Workup #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... AND • Baseline ... #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Screening Testing ... parenchymal disease ... disease - Renal ... CT scan, adrenal ... Causes #Screening #Workup
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... both cortisol and ... laboratory #diagnosis #testing ... #endocrinology ... #workup
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... cortisol 30 min AND ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Differential Diagnosis Algorithm ... Hyperplasia • MEN 1 and ... Hypercalcemia (in the setting ... Immobilization • Adrenal ... #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... Hyperthyroidism: Work-up ... ophthalmopathy → Graves' Disease ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... can drive this disease ... As with many disease ... Best to have an ... #workup #hematology
Celiac Disease - Diagnosis Algorithm IgA TTG has high sensitivity and specificity of ~ 98% and is
Celiac Disease - ... Diagnosis Algorithm ... pts need further testing ... #Diagnosis #Algorithm ... gastroenterology #workup
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