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diagnosis differential algorithm adrenal insufficiency amenorrhea dermatology primary workup alopecia clinical generalized gynecology hairloss hypertension management obgyn pathophysiology pruritus signs
Causes of Secondary Amenorrhea - Differential Diagnosis • Pregnancy • Endocrinopathies: PCOS, Hypothyroidism • HPA Dysfunction:
Causes of Secondary ... Eating disorder, Stress ... BrighamChiefs #Secondary ... Differential #Diagnosis #Causes ... #endocrinology
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Polycystic Ovarian Syndrome ... • Empty Sella Syndrome ... Disorders, Exercise, Stress ... Diagnosis #Algorithm #endocrinology ... #causes
Hyperglycemia - Differential Diagnosis Algorithm Diabetes Mellitus: • Impaired Glucose Tolerance • Type I Diabetes • Type
• Cushing's Syndrome ... / Physiologic Stress ... : • Stress Hyperglycemia ... Diagnosis #Algorithm #endocrinology ... #causes
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... ACTH-Dependent (Secondary ... Polyglandular Autoimmune Syndrome ... Staph Aureus, Strep ... #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Renal ultrasound, Tests ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... Acromegaly #Secondary
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 ... , weight loss, stress ... Diagnosis #Algorithm #Causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
of primary OR secondary ... unclear (often the case ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Causes of Secondary ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST: ... Diagnosis #Management #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... Secondary Adrenal ... - If the secondary ... secretion; in chronic secondary ... diagnosis #testing #endocrinology
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
infarction Takotsubo (stress ... cardiomyopathy (Yamaguchi syndrome ... wave inversion syndrome ... Secondary T wave ... Differential #Diagnosis #Causes
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