Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Algorithm for the diagnostic workup of hyperthyroidism. (T3 = triiodothyronine; T4 = thyroxine; TSH = thyroid-stimulating
Algorithm for the ... diagnostic workup ... of hyperthyroidism ... TSH = thyroid-stimulating ... #algorithm #diagnosis
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Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... Check pregnancy test ... workup choices ... #Hyperthyroidism ... #Algorithm #Workup
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 β€’ Low TSH, Low normal T4
Thyroid Function Tests ... Evaluation of Hyperthyroidism ... : Work-up similar ... to hyperthyroidism ... #algorithm #diagnosis
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 ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Algorithm - Evaluation ... then go to stim testing ... Standard Stim test ... #Algorithm #ACTH ... #Stimulation #Test
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... β€’ Hyperthyroidism ... #Differential #Diagnosis ... Causes #Screening #Workup
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... Algorithm Clinical ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND β€’ Baseline
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... cardiopulmonary exercise testing ... liver function test ... #Hypertension #Workup ... #Algorithm
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: β€’ ... dexamethasone suppression test ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Breath test for ... #Diarrhea #Workup ... #Transplant #diagnosis