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diagnosis differential dermatology endocrinology adrenal generalized insufficiency pruritus systemic acth amenorrhea anemia dyslipidemia gynecology hematology hyperlipidemia hyperthyroidism lipidprofiles normocytic obgyn
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... Tests in the Evaluation ... +/- T3 → Primary ... T3 → Central (secondary ... Hyperthyroidism #algorithm
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Causes == Primary ... Mellitus Liver Function ... Tests/Enzymes: ... /uremia TSH & T4 ... #secondary #systemic
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Abnormal Lipid Profiles ... Differential Diagnosis Algorithm ... Deficiency • Primary ... Hypothyroid ... #Dyslipidemia #Abnormal
Causes of Anemia with Normal Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Decreased WBCs - Decreased/NormaI
Causes of Anemia ... Reticulocytosis • Primary ... Hypersplenism • Secondary ... Anemias (MAHA) - Abnormal ... Cancer • Hypothyroid
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... this indicates normal ... adrenal function
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Mellitus Liver Function ... Tests/Enzymes: ... /uremia TSH & T4 ... #causes
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Differential Diagnosis Algorithm ... by age 16 with secondary ... age 14 without secondary ... Hypothalamic: • Functional
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Abnormalities in primary ... or secondary hemostasis ... platelet function ... Fecal occult blood test
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... ACTH) stimulation test ... baseline ACTH - Primary ... insufficiency • Low or normal ... baseline ACTH - Secondary
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