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diagnosis amenorrhea causes differential gynecology anorexianervosa cirrhosis complications diet endocrinology hepatology hyperthyroidism management nutrition paralysis periodic priapism primary psychiatry secondary
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... T4 +/- T3 → Subclinical ... T4 +/- T3 → Primary ... Hyperthyroidism #algorithm ... endocrinology #TFTs #TSH #Interpretation
Thyrotoxic Periodic Paralysis - Illness Script • Epidemiology: Asian men age 20-30 with hyperthyroidism of any
Thyrotoxic Periodic Paralysis ... Heavy exercise, fasting ... and menses • Pathophysiology ... Hypokalemia +/- low ... high fT4 or high T3
Priapism: Pathogenesis - Post-cavernosal venous occlusion -> Post-cavernosal venous drainage is mechanically obstructed e.g. sickle cell
cell disease, dialysis ... -> Ischemic (Low-flow ... Inadequate venous function ... Prolonged erection lasting ... #Priapism #Pathophysiology
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Differential Diagnosis Algorithm ... FSH, Low estrogen ... : • Functional ... (e.g. eating disorder ... #Causes #OBGyn
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Differential Diagnosis Algorithm ... Etiology - High FSH, Low ... Hypothalamic: • Functional ... (e.g. eating disorder ... #Causes #OBGyn
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
Prioritizing Tool • Low ... Biolectrical Impedance Analysis ... muscle mass and function ... • Prescribe low ... management #hepatology #pathophysiology
Anorexia Nervosa: Complications CARDIAC ABNORMALITIES - Functional: Low BP, Sinus bradycardia, prolonged QT interval - Structural: Reduced
ABNORMALITIES - Functional ... : Low BP, Sinus ... Enzymes - From fasting ... T3/T4 - Females ... Complications #pathophysiology
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