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diagnosis differential causes endocrinology amenorrhea gynecology obgyn adrenal insufficiency nephrology acth breast cardiology discharge dyslipidemia hematology htn hyperlipidemia hypertension hypogonadism
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
• Low TSH, Low ... • Low TSH, normal ... T4 +/- T3 → Primary ... T3 → Central (secondary ... #algorithm #diagnosis
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Primary and Secondary ... Differential Diagnosis Algorithm ... Mislabelled - Repeatedly normal ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... goiter • Toxic diffuse ... thyroiditis Secondary ... Diagnosis: • ↓ Low ... Size Thyroid Storm
Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm Primary Amenorrhea - No onset of menarche
Causes of Primary ... Differential Diagnosis Algorithm ... Primary Amenorrhea ... • Ovarian - Normal ... Differential #Diagnosis #Algorithm
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Abnormal Lipid Profiles ... Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... #Dyslipidemia #Abnormal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... OR secondary AI ... this indicates normal ... AI - Low = secondary ... Insufficiency #Diagnosis #Algorithm
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... / Low TSH • Pituitary ... + High TSH • Primary ... Hypothyroidism ... Differential #Diagnosis #Algorithm
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Differential Diagnosis Algorithm ... R - Primary aldosteronism ... High Al, High R - Secondary ... Al, Normal R - ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... baseline ACTH - Primary ... insufficiency • Low ... or normal baseline ... ACTH - Secondary
Hypogonadism Differential Diagnosis Algorithm • Low testosterone, Normal or low LH, Normal or low FSH -
Differential Diagnosis Algorithm ... , Normal or low ... LH, Normal or low ... FSH - Secondary ... Elevated FSH - Primary
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