11 results
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... if pregnant or breast ... #Hyperthyroid # ... #Workup #Endocrinology
Hashitoxicosis

‘Leakage’ symptoms of active Hashimoto’s disease

- Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
during the initial hyperthyroid ... thyroiditis that causes ... enough of it (hypothyroidism ... Diffuse infiltration ... Hashitoxicosis #Hashimotos #Endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Differential Diagnosis Algorithm ... renal, Bladder, Breast ... Bone Resorption: Hyperthyroid ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Differential Diagnosis Algorithm ... TSH • Primary Hypothyroidism ... Differential #Diagnosis #Algorithm ... #Endocrinology ... #Causes
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm

DIFFUSE
Scarring - Irreversible-biopsy required
 • Lupus
Differential Diagnosis Algorithm ... Endocrine • Hypothyroidism ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... #causes
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework

Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... ↓FT3/↓FT4 • Treat ... Differential #Diagnosis #algorithm ... #endocrinology ... #hypothyroid #Management
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
high; in some cases ... with multiple areas ... disease course #hypothyroid ... #hyperthyroid # ... differential #diagnosis #endocrinology
Tall Stature - Differential Diagnosis Algorithm

Normal Growth (BA=CA)
 • Familial Tall Stature
 • XYY Syndrome
Obese BMI
Differential Diagnosis Algorithm ... Normal Growth (BA=CA ... GH Excess • Hyperthyroidism ... #endocrinology ... #causes
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
Puberty Onset (BA = CA ... Puberty Onset (BA < CA ... Dwarfism) • Hypothyroidism ... #endocrinology ... #causes #pediatrics
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism ... goiter • Toxic diffuse ... Metastatic Follicular CA ... #causes #diagnosis ... #differential #endocrinology