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 differential hypothyroid stimulation clinical cushing disorders eyelid gravis hyperfunction hypothyroidism myasthenia neurology ophthalmology physicalexam signs symptoms syndrome
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Differential Diagnosis Algorithm ... Hypothyroidism ... Graves’ • Toxic Nodular ... Amy Chung, MD, MSc ... #Hypothyroid #Hyperthyroid
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... if concern for nodular ... Check pregnancy test ... #Hyperthyroid # ... #Workup #Endocrinology
Hypothyroidism and Hyperthyroidism - Symptoms and Signs Hypothyroidism: - General - From asymptomatic to myxedema coma, “Like
ophthalmopathy ocular ... Amy Chung, MD, MSc ... @AmyChung #Hypothyroid ... #Hyperthyroid # ... Signs #Diagnosis #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ) stimulation test ... Differential #Diagnosis #Algorithm ... #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
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 ... Insufficiency #Diagnosis #Algorithm ... #Test #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
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
suspected and anti-ACh ... In-office testing ... and the ice pack test ... include a Tensilon test ... tumor, and always ask
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