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 endocrinology adrenal insufficiency acth hematology secondary table workup amenorrhea endo eosinophil eosinophilia hypertension hyperthyroid hyponatremia hypothyroid hypotonic im nephrology
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders ... - Differential ... Diagnosis Algorithm ... Hypothyroidism ... Amy Chung, MD, MSc
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline
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
Causes of Secondary Amenorrhea - Differential Diagnosis • Pregnancy • Endocrinopathies: PCOS, Hypothyroidism • HPA Dysfunction:
Causes of Secondary ... Amenorrhea - Differential ... Endocrinopathies: PCOS, Hypothyroidism ... Strenuous exercise, Eating ... disorder, Stress
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... Step 3) Differentiate ... Insufficiency #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation
Eosinophil Disorders Testing Algorithm INDICATIONS FOR TESTING: • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Eosinophil Disorders ... Testing Algorithm ... for secondary causes ... eosinophilia (common causes ... #Algorithm #Differential
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... or low Uosm), Hypothyroidism ... Cerebral Salt Wasting ... #Hyponatremia #differential
Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Polycythemia - Differential ... Diagnosis Algorithm ... an underlying cause ... Best to have an ... #Diagnosis #Algorithm
Causes of Unintentional Weight Loss - Differential Diagnosis Malignancy - Tumor effect* (esp. Gl, lung, lymphoma)
Causes of Unintentional ... Weight Loss - Differential ... disorders Infections ... Uncontrolled diabetes, Hyperthyroidism ... #Diagnosis #Causes
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