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diagnosis differential endocrinology dermatology adrenal amenorrhea generalized gynecology insufficiency obgyn primary pruritus systemic acth bariatric bypass cirrhosis deficiencies delayed enzymes
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... T4 → Possibly Central ... T3 → Central (secondary ... Hyperthyroidism #algorithm ... endocrinology #TFTs #TSH #Interpretation
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Systemic and Primary Causes ... Mellitus Liver Function ... /uremia TSH & T4 ... Pruritus #primary #secondary ... #causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... this indicates normal ... adrenal function
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
Differential Diagnosis Algorithm ... Tumor Increased T4 ... T4 and TSH • ... • Non-Tumor Secondary ... #causes #endocrinology
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 ... #Causes #OBGyn
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... in primary or secondary ... platelet function ... deficiency - Abnormal
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... insufficiency • Low or normal ... baseline ACTH - Secondary
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Differential Diagnosis Algorithm ... by age 16 with secondary ... age 14 without secondary ... Hypothalamic: • Functional ... (e.g. eating disorder
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 ... or referral to secondary
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Differential Diagnosis Algorithm ... Mellitus Liver Function ... /uremia TSH & T4 ... #Pruritus #secondary ... #causes
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