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

Radioactive iodine scan – get if concern for nodular
Algorithm Radioactive ... Check pregnancy test ... workup choices ... #Algorithm #Workup ... #Endocrinology
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Whipple Disease ... Tropheryma whipplei Symptoms ... Abdominal pain; ... positive T. whipplei test ... #diagnosis #algorithm
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
• CNS symptoms ... Returning Traveler’ algorithm ... Test for the respective ... biopsy • Lab values ... #diagnosis
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
and Workup Summary ... Criteria - Recurrent abdominal ... last 3 months + symptom ... cultures, but test ... Rule out celiac disease
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Insufficiency Addison's Disease ... Nausea/vomiting • Abdominal ... Serum DHEAS Diagnosis ... #endocrinology ... #diagnosis #signs
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
or metastatic disease ... ketoconazole, etomidate) Symptoms ... ) w/ anorexia, abdominal ... A STIM test can ... #Management #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Thyroid Function Tests ... Hyperthyroidism: Work-up ... ophthalmopathy → Graves' Disease ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... classically purple abdominal ... dexamethasone suppression test ... #signs #symptoms ... #endocrinology
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Algorithm Polycythemia ... that a one-off value ... As with many disease ... Best to have an ... #Algorithm #workup