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diagnosis causes endocrinology adrenal dermatology insufficiency acth generalized pruritus stimulation systemic abnormal amenorrhea enzymes gynecology hepatology hyperthyroidism lfts liver 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 /
Diagnosis Algorithm ... Mellitus Liver Function ... Tests/Enzymes: ... /uremia TSH & T4 ... #secondary #systemic
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... normal adrenal function ... #Stimulation #Test
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 ... #Pruritus #secondary
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... baseline ACTH - Primary ... baseline ACTH - Secondary
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Amenorrhea - Differential ... Diagnosis Algorithm ... by age 16 with secondary ... Hypothalamic: • Functional
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Step 3) Differentiate ... primary vs secondary ... consistent with primary
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... urgent referral to secondary ... decision for repeat testing ... Liver #Enzymes #Differential
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... Diagnosis Algorithm ... Abnormalities in primary ... or secondary hemostasis ... Fecal occult blood test
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