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diagnosis endocrinology differential pathophysiology symptoms acth adrenal amenorrhea anorexianervosa causes complications enzymes gynecology hepatology hyperthyroidism hypothyroid insufficiency lfts liver myopathy
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... Hyperthyroidism → Signs ... T3 → Central (secondary ... Hyperthyroidism #algorithm ... endocrinology #TFTs #TSH #Interpretation
Hypothyroid Myopathy Very common (up to 80% ) in patients with hypothyroidism Pathophysiology: • T4 deficiency leads to
Hypothyroid Myopathy ... Pathophysiology: • T4 ... deficiency leads to abnormal ... impairs musde function ... pathophysiology #signs
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 ... Insufficiency #Diagnosis #Algorithm
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... clinical symptoms/signs ... urgent referral to secondary ... decision for repeat testing
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... Differential Diagnosis Algorithm ... estrogen: • Functional ... (e.g. eating disorder ... Cervical stenosis #Secondary
Anorexia Nervosa: Complications CARDIAC ABNORMALITIES - Functional: Low BP, Sinus bradycardia, prolonged QT interval - Structural: Reduced
ABNORMALITIES - Functional ... Enzymes - From fasting ... suppression - Low-Normal ... T3/T4 - Females ... pathophysiology #diagnosis #signs
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