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diagnosis differential nephrology endocrinology hyponatremia secondary low management obgyn workup hematology hypokalemia rheumatology adrenal amenorrhea anemia dermatology gynecology hypertension insufficiency
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
• Low TSH, Low normal ... • Low TSH, normal ... high T4 +/- T3 → Primary ... Scan • High or normal ... #algorithm #diagnosis
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Differential Diagnosis Algorithm ... Mislabelled - Repeatedly normal ... aldosteronism) • Hyperthyroidism ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... TSH & T4: • Hypothyroidism ... • Hyperthyroidism ... #causes
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Oral sodium loading ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... repaired) • Primary ... syndromes other than primary
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Abnormal Lipid Profiles ... Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... #Dyslipidemia #Abnormal
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... treat underlying cause ... Solute Intake - Primary ... CKD, Thiazides, Hypothyroidism ... diagnosis #nephrology #sodium
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... + High TSH • Primary ... Hypothyroidism ... Differential #Diagnosis #Algorithm ... Endocrinology #Causes
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... hypothyroidism ... PRA • ↓ Serum sodium ... ACTH • ↓ Serum sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Medications (diuretics), Hypothyroidism ... (UOsm < 100): Primary ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... • Insomnia Primary ... Hyperthyroidism ... Size Thyroid Storm ... #causes #diagnosis
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