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diagnosis causes differential amenorrhea gynecology endocrinology interpretation signs symptoms tfts thyroid
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
normal T4 → Possibly ... • Low TSH, normal ... T4 +/- T3 → Primary ... T3 → Central (secondary ... #algorithm #diagnosis
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... goiter • Toxic diffuse ... thyroiditis Secondary ... Size Thyroid Storm ... • Labs: - ↓ TSH
Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm Primary Amenorrhea - No onset of menarche
Causes of Primary ... Differential Diagnosis Algorithm ... • Ovarian - Normal ... Differential #Diagnosis #Algorithm ... #Causes #OBGyn
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... Differential Diagnosis Algorithm ... compression) • Hypothyroidism ... Cervical stenosis #Secondary ... #Causes #OBGyn
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... Etiology - High FSH ... Hyperprolactinemia • Hypothyroidism ... #Causes #OBGyn
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