Hypogonadism differential diagnosis: Difference between revisions
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* Acute abdomen | * Acute abdomen | ||
| | | | ||
| | * Features of [[iron deficiency anemia]] may be present such as: | ||
** Low [[MCV]], | |||
** Low [[Mean cell haemoglobin|MCHC]] | |||
** Elevated RBC distribution width | |||
* Elevated levels of [[CA-125|serum cancer antigen-125]] in some cases.<sup>[[Endometriosis laboratory findings#cite note-pmid12521524-1|[1]]]</sup> | |||
* Increased levels of [[interleukin 1]], chemoattractant protein-1 and [[Interferon-gamma|interferon gamma]] may be present in patients with [[endometriosis]]. These are useful markers to monitor the disease activity and progression.<sup>[[Endometriosis laboratory findings#cite note-pmid28189296-2|[2]]]</sup> | |||
|Medical therapy: | |||
* [[Gonadotropin-releasing hormone agonist|Gonadotrophin releasing hormone agonists]] | |||
* [[Oral contraceptive|Oral contraceptive pills]] | |||
* [[Aromatase inhibitor|Aromatase inhibitors]] | |||
Surgery: | |||
* Conservative removal of the endometrial tissues by laser or lectrocautry | |||
* Definitive surgery[[hysterectomy]] with [[Salpingo-oophorectomy|bilateral salpingo-oophorectomy]]. | |||
|} | |} | ||
Revision as of 02:57, 23 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Differentiating Hypogonadism from other Diseases
- Hypogonadism must be differentiated from diseases that cause delayed puberty or infertility. These diseases include congenital diseases as Klinefelter syndrome, Kallmann syndrome and cryptorchidism. The diseases include also
| Diseases | Clinical findings | Diagnosis | Manangement | |
|---|---|---|---|---|
| Congenital diseases | Klinefelter syndrome | |||
| Kallmann syndrome | ||||
| Cryptorchidism | ||||
| Male diseases | Testicular torsion | |||
| Orchitis | ||||
| Pituitary adenoma | ||||
| Female diseases | Polycystic ovarian syndrome (PCOS) | Possible clinical findings in cases of PCOS:[1]
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| Pelvic inflammatory disease | Patients usually present with the following:[3][4]
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| Endometriosis | Clinical features of endometriosis include the following:[5]
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Medical therapy:
Surgery:
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References
- ↑ Christine Cortet-Rudelli, Didier Dewailly (2006). "Diagnosis of Hyperandrogenism in Female Adolescents". Hyperandrogenism in Adolescent Girls. Armenian Health Network, Health.am. Unknown parameter
|month=ignored (help) - ↑ Legro RS, Barnhart HX, Schlaff WD (2007). "Clomiphene, Metformin, or Both for Infertility in the Polycystic Ovary Syndrome". N Engl J Med. 356 (6): 551–566. PMID 17287476.
- ↑ Brunham RC, Gottlieb SL, Paavonen J (2015). "Pelvic inflammatory disease". N. Engl. J. Med. 372 (21): 2039–48. doi:10.1056/NEJMra1411426. PMID 25992748.
- ↑ Ford GW, Decker CF (2016). "Pelvic inflammatory disease". Dis Mon. 62 (8): 301–5. doi:10.1016/j.disamonth.2016.03.015. PMID 27107781.
- ↑ Murphy AA (2002). "Clinical aspects of endometriosis". Ann N Y Acad Sci. 955: 1–10, discussion 34-6, 396–406. PMID 11949938.