Morning Report

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Physical Exam Vitals: Ht 5’5” | Wt 60kg | RR 14 | P 72 | BP 110/62 Gen: NAD HEENT: symmetrically enlarged thyroid w/o discrete nodules, no neck webbing RESP: CTAB CV: rrr, nl s1 s2 and no murmurs BREAST: Tanner III development. No nipple discharge. ABD: soft, nt/nd +BS LYMPH: no LAD SKIN: no acne, no hirsutism. no hyperpigmentation. No axillary or pubic hair (Brazilian bikini wax) GU: vaginal canal patent, nl cervical and vaginal mucosa. On bimanual exam, uterus palpated, no adnexal masses
What labs do you want to order? • Which labs/studies do you order first? • How do you work up secondary amenorrhea?
Page 1 and 2: Morning Report November 23, 2010 Ki
Page 3 and 4: Which of the following is the best
Page 5 and 6: • This patient has poor glycemic
Page 7 and 8: HPI • Only 2 menses in lifetime b
Page 9 and 10: Differential?
Page 11: Amenorrhea: Physical Exam Findings
Page 15 and 16: Hypogonadism? Obstruction? Hypo/hyp
Page 17 and 18: How do you work up hypothyroidism?
Page 19 and 20: • Thyroglobulin ab 40 • TPO 128
Page 21 and 22: Additional Workup 10/19; 10/29 Norm
Page 23 and 24: • Pelvic u/s: - Endometrial strip
Page 25 and 26: How to link premature ovarian failu
Page 27 and 28: Nelson. Primary Ovarian Insufficien
Page 29 and 30: How do you work this up?
Page 31 and 32: Adrenal Ab < 1 GAD65 ab 0 Karytoype
Page 33: Teaching points • Understand the

Morning Report

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