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diagnosis differential endocrinology amenorrhea gynecology obgyn adrenal insufficiency nephrology acth breast cardiology discharge dyslipidemia hematology htn hyperlipidemia hypertension hypokalemia hyponatremia
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
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
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Abnormal Lipid Profiles ... Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... #Dyslipidemia #Abnormal
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
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... / Low TSH • Pituitary ... + High TSH • Primary ... Hypothyroidism ... Endocrinology #Causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... this indicates normal ... AI - Low = secondary ... Insufficiency #Diagnosis #Algorithm
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... age 14 without secondary ... Etiology - High FSH, Low ... Hyperprolactinemia • Hypothyroidism
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 ... Differential #Diagnosis #Algorithm ... #nephrology #causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... baseline ACTH - Primary ... insufficiency • Low ... or normal baseline ... ACTH - Secondary
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