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diagnosis differential nephrology hyponatremia causes endocrinology signs symptoms addisons adrenal alkalosis amenorrhea breast chloride ckd discharge disease gynecology hypertension hypotonic
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
• Low TSH, Low ... • Low TSH, normal ... • Low TSH, high ... T4 +/- T3 → Primary ... #algorithm #diagnosis
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Medications (diuretics), Hypothyroidism ... (UOsm < 100): Primary ... polydipsia, Low ... #diagnosis #sodium
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
acid <4 • SIADH, Hypothyroidism ... , Low solute intake ... Glucocorticoid deficiency, Primary ... #Hyponatremia #algorithm ... #diagnosis #sodium
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... • Insomnia Primary ... Hyperthyroidism ... Diagnosis: • ↓ Low ... Size Thyroid Storm
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Uosm), Hypothyroidism ... water intake (Primary ... polydipsia), Low
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Prolactin + Normal/ Low ... + High TSH • Primary ... Hypothyroidism ... Differential #Diagnosis #Algorithm
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... Solute Intake - Primary ... CKD, Thiazides, Hypothyroidism ... Differential #Diagnosis #Algorithm ... diagnosis #nephrology #sodium
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
hypothyroidism ... PRA • ↓ Serum sodium ... • Weakness • Low-grade ... ACTH • ↓ Serum sodium ... tests: - Check sodium
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Differential Diagnosis Algorithm ... Etiology - High FSH, Low ... Hyperprolactinemia • Hypothyroidism ... #Primary #Amenorrhea
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Chloride Algorithm ... alkalosis • Normal/low ... settings, the urine sodium ... the excretion of sodium ... Chloride #urine #Algorithm
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