52 results
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
Toxic adenoma - TSH ... thyroiditis - TSH ... thyroiditis - TSH ... Euthyroid sick syndrome ... differential #diagnosis #endocrinology
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework

Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
or tertiary) ↓TSH ... Hypothyroidism ↑TSH ... Euthyroid sick syndrome ... ↔TSH, ↓FT3/↓FT4 ... Diagnosis #algorithm #endocrinology
Thyroid Goiter in Severe Hypothyroidism on Neck Physical Examination

TSH 124. Hashimoto’s, lost to care and thyroid
Examination TSH ... Thyroid #Mass #Neck #PhysicalExam ... Hypothyroidism #endocrinology
Von Graefe's Sign - Graves' Eyelid Ophthalmopathy on Ocular Exam

Lagging of the upper eyelid on downward
Ophthalmopathy #Ocular #PhysicalExam ... #ophthalmology ... #endocrinology #
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
T4, Decreased TSH ... Normal T4 and TSH ... Klinefelter's Syndrome ... • Kallman's Syndrome ... Algorithm #causes #endocrinology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Suspected Cushing syndrome ... Urine Free by LC-MS ... ARUPLabs #Cushing #Syndrome ... diagnosis #algorithm #endocrinology
Bilateral Lens Dislocation in Marfan syndrome - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
Dislocation in Marfan syndrome ... Dislocation #Marfan #syndrome ... #Ocular #PhysicalExam ... clinical #video #ophthalmology
Amenorrhea - Differential Diagnosis Algorithm
Elevated FSH
 • Premature Ovarian Failure
 • Menopa use
 • Spontaneous
Bleed With
Algorithm Elevated FSH ... Polycystic Ovarian Syndrome ... • Empty Sella Syndrome ... Diagnosis #Algorithm #endocrinology
Cushing Syndrome - Likelihood Ratios of Physical Exam Findings
Moon facies LR +1.6
Central obesity LR +3.0
Generalized obesity
Cushing Syndrome ... SatyaPatelMD #Cushings #Syndrome ... #Ratios #LRs #PhysicalExam ... #diagnosis #endocrinology
Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... #PhysicalExam # ... video #neurology #ophthalmology