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 clinical video orthopedics physicalexam sports adrenal faber insufficiency patricks sacroiliac stimulation acth differential elys femoris rectus acromegaly active antenatal
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
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 µg cosyntropin given IV T30m: Repeat
Insufficiency Algorithm ... Cosyntropin Stimulation Test ... Insufficiency #Testing ... #Algorithm #Cosyntropin ... #Stimulation #endocrinology
Antenatal Visits - Testing and Schedule At Every Visit: • Gestational Age • BP • Maternal Weight
• HepB • HIV ... Glucose Tolerance Testing ... Glucose Challenge Test ... Glucose Tolerance Test ... Amy Chung, MD, MSc
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
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) 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
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... Algorithm INDICATIONS ... FOR TESTING: • ... #Algorithm #diagnosis ... #endocrinology
Active Straight Leg Raise Test (ASLR) The ASLR tests assesses the ability to load the pelvis through
Straight Leg Raise Test ... ASLR) The ASLR tests ... Pain (PGP) Testing ... #hip #pelvis #clinical ... #physicalexam #msk
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