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diagnosis causes endocrinology nephrology adrenal alkalosis amenorrhea chloride gynecology insufficiency metabolic obgyn acth delayed fracture healing hyperthyroidism hypokalemia hyponatremia hypotonic
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... TSH, Low normal ... • Low TSH, normal ... T4 +/- T3 → Primary ... Hyperthyroidism #algorithm
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... arrhythmias and paralysis ... mEq/g suggests urinary ... /Normal Blood Pressure ... #differential #
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... this indicates normal ... adrenal function ... AI - Low = secondary
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... , hypoglycemia Testing ... baseline ACTH - Primary ... or normal baseline
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... - Urinary Chloride ... /low blood pressure ... #causes #urinary
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Secondary Amenorrhea - Differential ... Diagnosis Algorithm ... FSH, Low estrogen ... : • Functional ... (e.g. eating disorder
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Amenorrhea - Differential ... Diagnosis Algorithm ... Etiology - High FSH, Low ... Hypothalamic: • Functional ... (e.g. eating disorder
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis - Urinary ... Chloride Algorithm ... Vomiting/nasogastric suction ... /low blood pressure ... #nephrology #differential
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
remember than the normal ... volume-based algorithm ... can be high or low ... Cerebral Salt Wasting ... #Hyponatremia #differential
Delayed Fracture Healing - Non-Union - Malunion - Differential Diagnosis Algorithm Inflammation (Hours-Days) -> Soft Callus (Days-Weeks)
Non-Union - Malunion - Differential ... Diagnosis Algorithm ... deviations from normal ... axis Non Functional ... Misalignment before casting
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