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 acth differential hypothyroid workup aafp cosyntropin cushing disorders hyperfunction hypothyroidism interpretation signs symptoms syndrome tfts tsh
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders ... Differential Diagnosis Algorithm ... Hypothyroidism ... Amy Chung, MD, MSc ... #Hypothyroid #Hyperthyroid
Algorithm for the diagnostic workup of hyperthyroidism. (T3 = triiodothyronine; T4 = thyroxine; TSH = thyroid-stimulating
Algorithm for the ... thyroxine; TSH = thyroid-stimulating ... #hyperthyroidism ... #algorithm #diagnosis ... #workup #aafp #endocrinology
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 Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... concern for nodular thyroid ... Check pregnancy test ... #Hyperthyroid # ... #Workup #Endocrinology
Hypothyroidism and Hyperthyroidism - Symptoms and Signs Hypothyroidism: - General - From asymptomatic to myxedema coma, “Like
osculating over thyroid ... 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
Approach to Thyroid ... Function Tests ... symmetrically enlarged thyroid ... #algorithm #diagnosis ... #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 T-1m: Baseline ... Insufficiency #Testing ... #Stimulation #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline ... #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 ... #ACTH #Stimulation ... #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
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Insufficiency #Algorithm ... #Endocrinology
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