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diagnosis signs symptoms differential endocrinology causes management orthopedics algorithm hyperthyroidism complications syndrome neurology clinical hypothyroidism iodine sports hyperthyroid injury ophthalmology
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders ... • Radioactive Iodine ... Hypopituitarism • Iodine ... Amy Chung, MD, MSc ... @AmyChung #Thyroid
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
of Patients for Thyroid ... increased radioactive iodine ... uptake; thyroid ... uptake; thyroid ... procedure that ablates thyroid
Thyroid Goiter on Physical Exam Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
Thyroid Goiter on ... presenting with thyroid ... goiters caused by iodine ... bruno.farnetano #Thyroid ... #PhysicalExam #iodine
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 Amiodarone Thyroid Complications Amiodarone: - iodine-rich, similar structure to T4, with half life up to 100d
Amiodarone Thyroid ... Amiodarone: - iodine-rich ... pts w/ latent thyroid ... dz: iodine load ... Wolff-Chaikoff effect (iodine
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake Reduced uptake: • Thyroiditis • Exogenous
thyroxine • Iodine ... loading • Ectopic thyroid ... disease • Excess thyroid-stimulating ... #radioactive #iodine
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Toxicosis • Iodine ... with radioactive iodine ... uptake • Thyroid ... Thionamide - Iodine ... • Radioactive iodine
Graves’ Disease: Pathogenesis and Clinical Findings B & T lymphocyte mediated autoimmunity attack TSH receptor -> Continuous
thyroglobulin, Thyroid ... also attack other thyroid ... thyroglobulin, thyroid ... Hoarseness, Dysphagia, Thyroid ... GravesDisease #pathophysiology
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm Beta-Blockers • Decreases sympathetic hyperactivity • Partially blocks peripheral conversion
Hyperthyroidism / Thyroid ... Blocks synthesis of thyroid ... Blocks synthesis of thyroid ... • Teratogenic Iodine ... release of stored thyroid
Hashitoxicosis ‘Leakage’ symptoms of active Hashimoto’s disease - Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
s disease, the thyroid ... make too much thyroid ... damaged due to thyroid ... Eventually thyroid ... Endocrinology #Diagnosis #Pathophysiology
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Radioactive Iodine ... disease • Low iodine ... goiter Radioactive Iodine ... • Thyroiditis, Iodine ... • Exogenous thyroid
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