abdominal abnormal acute adenoma adrenal aldosterone Algorithm anemia angina antibodies ascites assay assessment associated bilirubin biopsy bleeding breast calcium cancer carcinoma cardiac cells chest pain Chest radiograph cholesterol chronic cirrhosis Clinical Approach clinician common cause complete blood count computed tomography coronary cortisol culture Cushing's syndrome decreased detection diabetes Diagnostic Evaluation Differential Diagnosis disorders drugs dysfunction dyspnea edema elevated etiology fluid galactorrhea gastrointestinal gynecomastia headache hepatitis history and physical hormone hyperaldosteronism hypercalcemia hypertension hyperthyroidism hypogonadism identified imaging increased indicated infection inflammatory ischemia Laboratory lesions levels liver disease malignancy mass metabolic mg/dl myocardial normal obstruction onset ovarian pancreatitis Pap smear patients physical examination pituitary plasma pregnancy present primary prolactin protein pulmonary renal failure risk factors scan screening secondary sensitivity serum specific studies SUGGESTED READING suspected symptoms syncope Table therapy thyroid thyroid-stimulating hormone trauma troponin tumors ultrasound urinary urine usually vaginal viral workup
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