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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Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 β€’ Low TSH, Low normal T4
Thyroid Function Tests ... Evaluation of Hyperthyroidism ... Possibly Central Hypothyroidism ... #algorithm #diagnosis ... #endocrinology
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 ... Syndrome #diagnosis #algorithm ... #endocrinology
Antenatal Visits - Testing and Schedule
At Every Visit:	
 β€’ Gestational Age	
 β€’ BP
 β€’ Maternal Weight
β€’ HepB β€’ HIV ... Glucose Challenge Test ... Glucose Tolerance Test ... - Vaginal and Rectal ... Amy Chung, MD, MSc
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 Β΅g cosyntropin given IV
T30m: Repeat
Insufficiency Algorithm ... Cosyntropin Stimulation Test ... Insufficiency #Testing ... #Algorithm #Cosyntropin ... #Stimulation #endocrinology
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
Ely's Test for Rectus ... buttock, if the hip ... or leg during testing ... clinical #video #hip ... #physicalexam #msk
β–Ί
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
Ely's Test for Rectus ... buttock, if the hip ... or leg during testing ... clinical #video #hip ... #physicalexam #msk
β–Ί
Ely's Test for Rectus Femoris Spasticity

Ely's Test assesses rectus femoris spasticity.
With the patient prone, the examiner
Ely's Test for Rectus ... assesses rectus ... #Rectus #Femoris ... #Spasticity #Hip ... video #sports #msk
β–Ί
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Insufficiency Diagnosis Algorithm ... Test 1: Baseline ... - Assay cross reacts ... OCPs, pregnancy) Test ... #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 ... #Stimulation #Test ... #Endocrinology