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diagnosis differential adrenal insufficiency amenorrhea dermatology acromegaly acth generalized gynecology obgyn primary pruritus stimulation systemic abnormal enzymes evaluation hepatology hyperthyroidism
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
unclear (often the case ... then go to stim testing ... Standard Stim test ... normal adrenal function ... #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... baseline ACTH - Secondary ... #endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... Tests in the Evaluation ... T3 → Central (secondary ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... consistent with secondary ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... Algorithm INDICATIONS ... other pituitary functions ... #Algorithm #diagnosis ... #endocrinology
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Differential Diagnosis Algorithm ... Challenge • Functional ... • Weight Loss, Eating ... #endocrinology ... #causes
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 - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Systemic and Primary Causes ... Mellitus Liver Function ... Tests/Enzymes: ... 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 ... laboratory #diagnosis #testing ... #endocrinology
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 ... clotting factor function ... Fecal occult blood test
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