21 results
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Check pregnancy test ... affects diagnostic workup ... Diagnosis #Algorithm #Workup ... #Endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
dexamethasone test ... Evaluation #Diagnosis #workup ... #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... CRH stimulation test ... - Serum tests that ... diagnosis #testing #endocrinology ... #workup
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
dexamethasone suppression test ... Urine Free by LC-MS ... /MS) • Adrenocorticotropic ... diagnosis #algorithm #endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Thyroid Function Tests ... Hyperthyroidism: Work-up ... algorithm #diagnosis #endocrinology
Scapholunate Ligament Rupture on POCUS

MSK Ultrasound of the scapholunate ligament. Dynamic exam of Scapholunate ligament rupture.
Ligament Rupture on POCUS ... MSK Ultrasound ... rupture. - squeeze test ... replace the clinical tests ... #pocus
Antenatal Visits - Testing and Schedule
At Every Visit:	
 • Gestational Age	
 • BP
 • Maternal Weight
Protein Blood Work ... Glucose Challenge Test ... Glucose Tolerance Test ... Amy Chung, MD, MSc
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... #Joint #Pain #MSK ... rheumatology #approach #workup
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
and the ice pack test ... dismay the blood work ... include a Tensilon test ... tumor, and always ask
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
We may ask why are ... Ask some questions ... you’ll do a good workup ... Best to have an ... Diagnosis #Algorithm #workup