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diagnosis differential endocrinology causes dermatology hypothyroidism pruritus secondary systemic hyperthyroid hypothyroid interpretation lowthyroid pmr polymyalgia rheumatica rheumatology signs symptoms tfts
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... • Low TSH, Low ... T4 +/- T3 → Primary ... symmetrically enlarged thyroid ... #algorithm #diagnosis
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... stimulators • TSH-producing ... or Thyrotropin (TSH ... Storm: • Life ... • Labs: - ↓ TSH
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Pruritus - Generalized ... Differential Diagnosis Algorithm ... failure/uremia TSH ... & T4: • Hypothyroidism ... • Hyperthyroidism
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... Diagnosis and Management ... obtain TPOAb Euthyroid ... Differential #Diagnosis #algorithm ... #hypothyroid #Management
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... (low TSH, High T4 ... ) - Diagnostic Algorithm ... concern for nodular thyroid ... workup choices AND management
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Differential Diagnosis Algorithm ... failure/uremia TSH ... • Hyperthyroidism ... secondary #systemic #generalized
Hypothyroidism - Differential Diagnosis Algorithm Central Hypothyroidism • Isolated TSH Deficiency • Panhypopituitarism Thyroid Hormone Resistance Iatrogenic Primary Hypothyroidism -
Differential Diagnosis Algorithm ... • Isolated TSH ... Panhypopituitarism Thyroid ... Resistance Iatrogenic Primary ... - Congenital Thyroid
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary WHAT? • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
Diagnosis and Management ... degenerative diseases, hypothyroidism ... DIAGNOSIS: • PMR primarily ... creatine kinase, and thyroid-stimulating ... hormone (TSH) levels
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