THINGS TO KNOW NU
664 B
1. Primary Hypothyroidism TSH=
High T4
= Low
T3=
Low
2. Subclinical Hypothyroidism TSH=
High T4=
Normal
T3=
Normal
3. Secondary Hypothyroidism TSH=
Low
T4=
Low
3=
Low
4. Hyperthyroidism TSH=
Low
T4=
High
T3=
High
5. What is the most common cause findings should you
of gy- necomastia in adolescent investi- gate?
males?
7. Which medications
6. A 45-year-old male presents with are commonly associ-
unilat- eral breast enlargement. ated with
What additional symptoms or gynecomastia?
, THINGS TO KNOW NU
664 B
Pubertal hormonal changes.
8. What are the primary diagnostic
steps for evaluating gynecomastia? Ask about recent weight changes,
medica- tions, family history of breast
cancer, history of liver or kidney
disease, and symptoms of hormonal
imbalances.
Medications such as anti-
androgens, cer- tain
antidepressants, and drugs used
for treatment of prostate cancer.
A thorough history and physical
examina- tion, followed by imaging
(ultrasound or mammogram) and
possibly hormone level testing.
, THINGS TO KNOW NU
664 B
9. If a patient with gonorrhea is Ceftriaxone: Typically administered as a
allergic to amoxicillin, the sin- gle intramuscular dose of 500
recommended alternative mg.
treatments are: Azithromycin: An oral dose of 1 g can
be used, but it's often combined with
ceftriax- one for broader coverage.
10. What is the first-line treatment Metronidazole 2g orally in a single
for Tri- chomoniasis? dose or Tinidazole 2g orally in a single
dose
11. School-Aged Children and Adolescents In- IBS, gastroenteritis, celiac disease,
appen-
flammatory Bowel Disease (IBD) • Differ- dicitis, infectious colitis
entials
12. Gonorrhea Dysuria, purulent discharge, pelvic
pain NAAT Ceftriaxone 500mg IM in a
single dose (for persons <150 kg);
add Doxycycline if Chlamydia not
ruled out
13. Chlamydia Often asymptomatic; can include
dysuria, discharge NAAT (Nucleic Acid
Amplification Test) Azithromycin 1g
orally in a single dose or Doxycycline
100mg orally twice a day for 7 days
14. What is the recommended 16. What is the
treatment for Chlamydia? recommended course
of ac- tion for
gynecomastia that
15. Which of the following is NOT a persists be-
common cause of gynecomastia?
, THINGS TO KNOW NU
664 B
Azithromycin 1g orally in a single dose or Doxycycline 100mg
orally twice a day for 7 days
Hyperprolactinemia
Referral to an endocrinologist
664 B
1. Primary Hypothyroidism TSH=
High T4
= Low
T3=
Low
2. Subclinical Hypothyroidism TSH=
High T4=
Normal
T3=
Normal
3. Secondary Hypothyroidism TSH=
Low
T4=
Low
3=
Low
4. Hyperthyroidism TSH=
Low
T4=
High
T3=
High
5. What is the most common cause findings should you
of gy- necomastia in adolescent investi- gate?
males?
7. Which medications
6. A 45-year-old male presents with are commonly associ-
unilat- eral breast enlargement. ated with
What additional symptoms or gynecomastia?
, THINGS TO KNOW NU
664 B
Pubertal hormonal changes.
8. What are the primary diagnostic
steps for evaluating gynecomastia? Ask about recent weight changes,
medica- tions, family history of breast
cancer, history of liver or kidney
disease, and symptoms of hormonal
imbalances.
Medications such as anti-
androgens, cer- tain
antidepressants, and drugs used
for treatment of prostate cancer.
A thorough history and physical
examina- tion, followed by imaging
(ultrasound or mammogram) and
possibly hormone level testing.
, THINGS TO KNOW NU
664 B
9. If a patient with gonorrhea is Ceftriaxone: Typically administered as a
allergic to amoxicillin, the sin- gle intramuscular dose of 500
recommended alternative mg.
treatments are: Azithromycin: An oral dose of 1 g can
be used, but it's often combined with
ceftriax- one for broader coverage.
10. What is the first-line treatment Metronidazole 2g orally in a single
for Tri- chomoniasis? dose or Tinidazole 2g orally in a single
dose
11. School-Aged Children and Adolescents In- IBS, gastroenteritis, celiac disease,
appen-
flammatory Bowel Disease (IBD) • Differ- dicitis, infectious colitis
entials
12. Gonorrhea Dysuria, purulent discharge, pelvic
pain NAAT Ceftriaxone 500mg IM in a
single dose (for persons <150 kg);
add Doxycycline if Chlamydia not
ruled out
13. Chlamydia Often asymptomatic; can include
dysuria, discharge NAAT (Nucleic Acid
Amplification Test) Azithromycin 1g
orally in a single dose or Doxycycline
100mg orally twice a day for 7 days
14. What is the recommended 16. What is the
treatment for Chlamydia? recommended course
of ac- tion for
gynecomastia that
15. Which of the following is NOT a persists be-
common cause of gynecomastia?
, THINGS TO KNOW NU
664 B
Azithromycin 1g orally in a single dose or Doxycycline 100mg
orally twice a day for 7 days
Hyperprolactinemia
Referral to an endocrinologist
