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adrenal algorithm differential insufficiency causes disease secondary signs symptoms workup hypertension treatment acromegaly addisons autoimmune chagas cosyntropin cushings graves hypercortisolism
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... high T4 +/- T3 → Primary ... Hyperthyroidism ... #algorithm #diagnosis ... #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... ultrasound; MRA; abdominal ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... #Differential #Diagnosis
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... Check pregnancy test ... workup choices AND management ... #Hyperthyroidism ... Algorithm #Workup #Endocrinology
Graves Disease - Autoimmune Hyperthyroidism Epidemiology: Most common cause of hyperthyroidism, Incidence peaks at 30-50 Diagnosis: 1 )
common cause of hyperthyroidism ... peaks at 30-50 Diagnosis ... : 1 ) Primary hyperthyroidism ... #diagnosis #management ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... volume depletion, abdominal ... ACTH) stimulation test ... baseline ACTH - Primary ... #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
, only seen in PRIMARY ... around 6-8AM) – if value ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... Diagnosis: ... fibrillation/flutter • Abdominal ... #causes #diagnosis ... #differential #endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
hypothyroidism ... Nausea/vomiting • Abdominal ... Serum DHEAS Diagnosis ... addisons #disease #endocrinology ... #diagnosis #signs
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
and Management ... Summary Primary ... ) w/ anorexia, abdominal ... A STIM test can ... #Management #Endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
and Differential Diagnosis ... previously stable values ... Vasculitis • Endocrinologic ... : Hypothyroidism ... , Primary Hyperaldosteronism
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