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diagnosis differential endocrinology dermatology hyponatremia nephrology secondary alopecia cardiology chronic generalized hairloss pruritus sodium systemic workup abdominal abnormal amenorrhea anemia
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Evaluation of Hyperthyroidism ... high T4 +/- T3 → Primary ... Hyperthyroidism ... → Confirm with TRAb ... #algorithm #diagnosis
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... Graves disease – TRAB ... #Hyperthyroidism ... #Hyperthyroid #
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
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... TSH & T4: • Hypothyroidism ... • Hyperthyroidism ... #causes
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 ... thyroid hormone (hyperthyroidism ... enough of it (hypothyroidism ... Diffuse infiltration
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... • Hypothyroid ... Differential #Diagnosis #Algorithm
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Causes of Hypertension ... Differential Diagnosis Algorithm ... aldosteronism) • Hyperthyroidism ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Diffuse Hair Loss (Alopecia) - Differential Diagnosis Algorithm Scarring - Irreversible-biopsy required • Lupus erythematosus • Lichen
Diffuse Hair Loss ... Differential Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... #causes
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... • Insomnia Primary ... goiter • Toxic diffuse ... receptor antibodies (TRAb ... #causes #diagnosis
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis Algorithm ... or normal): • Primary ... Bone Resorption: Hyperthyroid ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
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