Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis adrenal insufficiency workup causes stimulation acth hypercalcemia hyponatremia hypothyroid secondary table acromegaly amenorrhea cosyntropin cushing diarrhea disorders hematology hyperfunction
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders - Differential ... Diagnosis Algorithm ... Hypothyroidism ... Amy Chung, MD, MSc ... #Hypothyroid #Hyperthyroid
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... Check pregnancy test ... #Hyperthyroid # ... #Workup #Endocrinology
Hypothyroidism and Hyperthyroidism - Symptoms and Signs Hypothyroidism: - General - From asymptomatic to myxedema coma, “Like
Hyperthyroidism ... Amy Chung, MD, MSc ... @AmyChung #Hypothyroid ... #Hyperthyroid # ... Signs #Diagnosis #endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... Evaluation of Hyperthyroidism ... Possibly Central Hypothyroidism ... #algorithm #diagnosis ... #endocrinology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm ... #endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
Insufficiency Algorithm ... Cosyntropin Stimulation Test ... Insufficiency #Testing ... #Algorithm #Cosyntropin ... #Stimulation #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Hypercalcemia - Differential ... Diagnosis Algorithm ... Bone Resorption: Hyperthyroid ... #Diagnosis #Algorithm ... #causes #endocrinology
Causes of Secondary Amenorrhea - Differential Diagnosis • Pregnancy • Endocrinopathies: PCOS, Hypothyroidism • 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: • Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... #Hypertension #Differential
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