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differential causes hyponatremia nephrology endocrinology alopecia dermatology hairloss signs symptoms focal hypothyroid hypothyroidism hypotonic physiologic table thyroid volume workup
Hypothyroidism and Hyperthyroidism - Symptoms and Signs Hypothyroidism: - General - From asymptomatic to myxedema coma, “Like
down” • Low ... ophthalmoplegia) • ± Diffuse ... MSc @AmyChung #Hypothyroid ... #Hyperthyroid # ... Symptoms #Signs #Diagnosis
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... (low TSH, High T4 ... #Hyperthyroidism ... #Hyperthyroid # ... Diagnosis #Algorithm
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
) Differential Diagnosis ... Algorithm DIFFUSE ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... #Algorithm #causes
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... Diagnosis: ... • ↓ Low TSH • ... Size Thyroid Storm ... #causes #diagnosis
Diffuse Hair Loss (Alopecia) - Differential Diagnosis Algorithm Scarring - Irreversible-biopsy required • Lupus erythematosus • Lichen
Diffuse Hair Loss ... - Differential Diagnosis ... Algorithm Scarring ... contraceptives • Hyperthyroid ... #Algorithm #causes
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Medications (diuretics), Hypothyroidism ... Primary polydipsia, Low ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
acid <4 • SIADH, Hypothyroidism ... , Low solute intake ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Uosm), Hypothyroidism ... #differential #diagnosis ... #table #sodium
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... Renal Failure, Hypothyroidism ... #diagnosis #causes ... #nephrology #sodium ... #low
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