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diagnosis differential endocrinology dermatology hypertension insufficiency systemic generalized htn primary pruritus acromegaly acth cardiology evaluation gynecomastia hematology indications interpretation laboratory
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... Acromegaly #Secondary ... #Screening #Workup
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Differential Diagnosis Algorithm ... taken at home, work ... aldosteronism) • Hyperthyroidism ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... : Work-up similar ... to hyperthyroidism ... T3 → Central (secondary ... #algorithm #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Systemic and Primary Causes ... Liver Function Tests ... BUN: • Chronic renal ... Pruritus #primary #secondary ... #causes
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... Secondary Adrenal ... - If the secondary ... secretion; in chronic secondary ... endocrinology #workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... ACTH) stimulation test ... baseline ACTH - Secondary ... Differential #Diagnosis #Algorithm
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... multi-drug resistance) Renal ... : • Hyperthyroidism ... Differential #Diagnosis #Algorithm
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary ... Hypertension - Workup ... Endocrinologic: Hypothyroidism ... Jcortesizaguirr #Secondary ... #Hypertension #Workup
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Liver Function Tests ... BUN: • Chronic renal ... • Hyperthyroidism ... #Pruritus #secondary ... #causes
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