10 results
Abnormal Serum TSH - Differential Diagnosis Algorithm
Increased TSH
 • Hypothyroidism
 • Sub-clinical Hypothyroidism
 • Recovery from
Abnormal Serum TSH ... Differential Diagnosis Algorithm ... • Hypothyroidism ... #Hypothyroid #Hyperthyroid ... #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
normal T4 → Possibly ... • Low TSH, normal ... Can repeat labs ... #algorithm #diagnosis ... #endocrinology
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
Thyroid Disease Hyperthyroidism ... high; in some cases ... disease course #hypothyroid ... #hyperthyroid # ... differential #diagnosis #endocrinology
Hyperthyroidism - Differential Diagnosis Algorithm
High/Normal Radioiodine Uptake
 - Autoimmune Thyroid Disease:
    • Grave's
Hyperthyroidism ... Differential Diagnosis Algorithm ... High/Normal Radioiodine ... #endocrinology ... #causes
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
High Prolactin + Normal ... High Prolactin + Normal ... • Primary Hypothyroidism ... #Endocrinology ... #Causes
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Differential Diagnosis Algorithm ... Elevated PTH (High or normal ... Bone Resorption: Hyperthyroid ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
or Thyrotropin (TSH ... Hypotension • Labs ... ↑ T3 - Mild hypercalcemia ... #causes #diagnosis ... #differential #endocrinology
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... • If all normal ... to SPEP/SFLC, TSH ... differential #diagnosis #endocrinology
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Differential Diagnosis Algorithm ... T4, Decreased TSH ... • Hyperthyroidism ... T4 and TSH • ... #causes #endocrinology
Subacute Thyroiditis

Also known as: de Quervain’s thyroiditis, granulomatous thyroiditis, or viral thyroiditis

What?
Postviral inflammatory process caused by
inflammatory process caused ... thyroid returns to normal ... jaw or ear Labs ... (2) Hypothyroid ... #deQuervains #endocrinology