Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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16 results
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 β€’ Low TSH, Low normal T4
Thyroid Function Tests ... Evaluation of Hyperthyroidism ... Possibly Central Hypothyroidism ... #algorithm #diagnosis ... #endocrinology
Thyroid Disorders - Differential Diagnosis Algorithm
Hypothyroidism:
 β€’ Hasimoto’s
 β€’ Radioactive Iodine 
 β€’ Hypopituitarism
 β€’ Iodine
Thyroid Disorders - Differential ... Diagnosis Algorithm ... Hypothyroidism ... Amy Chung, MD, MSc ... #Diagnosis #Algorithm
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: β€’ ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm ... #endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... Check pregnancy test ... #Hyperthyroidism ... #Workup #Endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 Β΅g cosyntropin given IV
T30m: Repeat
Insufficiency Algorithm ... Cosyntropin Stimulation Test ... Insufficiency #Testing ... #Algorithm #Cosyntropin ... #Stimulation #endocrinology
Causes of Secondary Amenorrhea - Differential Diagnosis
 β€’ Pregnancy
 β€’ Endocrinopathies: PCOS, Hypothyroidism
 β€’ HPA Dysfunction:
Secondary Amenorrhea - Differential ... Endocrinopathies: PCOS, Hypothyroidism ... Strenuous exercise, Eating ... Secondary #Amenorrhea #Differential ... Diagnosis #Causes #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... #endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... salivary cortisol β€’ Hypothyroidism ... β€’ Hyperthyroidism ... #Hypertension #Differential
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Step 3) Differentiate ... Insufficiency #Algorithm ... #Stimulation #Endocrinology