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 nephrology clinical hyponatremia endocrinology neurology adrenal management mri radiology sodium hypokalemia insufficiency table video workup disorders knee low orthopedics
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... and Screening Testing ... • Hyperthyroidism ... Acromegaly #Secondary
Causes of Secondary Amenorrhea - Differential Diagnosis • Pregnancy • Endocrinopathies: PCOS, Hypothyroidism • HPA Dysfunction:
Causes of Secondary ... Amenorrhea - Differential ... Endocrinopathies: PCOS, Hypothyroidism ... Strenuous exercise, Eating ... #Diagnosis #Causes
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Hypermagnesemia, Hypothyroidism ... Hypomagnesemia, Hyperthyroidism ... Hyperreflexia #Testing ... #Causes #differential
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders - Differential ... Diagnosis Algorithm ... Hypothyroidism ... Amy Chung, MD, MSc ... #Diagnosis #Algorithm
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... Evaluation of Hyperthyroidism ... T3 → Central (secondary ... ) Hyperthyroidism ... #algorithm #diagnosis
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 ... #Stimulation #Test
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... baseline ACTH - Secondary
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Step 3) Differentiate ... primary vs secondary ... Insufficiency #Algorithm
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Cushing Syndrome Testing ... Algorithm INDICATIONS ... FOR TESTING: • ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm
Eosinophil Disorders Testing Algorithm INDICATIONS FOR TESTING: • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Algorithm INDICATIONS ... • Screen for secondary ... causes of eosinophilia ... (common causes ... #Differential #
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