jake @Jmarasco
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CLINICAL MANIFESTATIONS 
OF ADRENAL INSUFFICIENCY. 

Primary and secondary adrenal insufficiency:
 - Tiredness, weakness, mental depression
Primary and secondary ... hypotension - Nausea ... - Autoimmune thyroid ... testicles - Secondary ... hypothyroidism
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
Causes of Hypercalcemia ... Parathyroid gland function-related ... vitamin A intake • Hyperthyroidism ... Osteolytic metastases: thyroid ... , adrenal, prostate
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm
No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... age 14 without secondary ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm
Absence of menses for more than 3 cycles or
Causes of Secondary ... Differential Diagnosis Algorithm ... estrogen: • Functional ... compression) • Hypothyroidism ... #Causes #OBGyn
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Differential Diagnosis Algorithm ... Ultrasound • Adrenal ... Decreased TSH • Hyperthyroidism ... • Non-Tumor Secondary ... #causes #endocrinology