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diagnosis differential endocrinology causes dermatology hypothyroidism pruritus secondary systemic discharge hyperthyroid hypothyroid interpretation lowthyroid management signs symptoms tfts workup
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 ... Diagnosis: • ↓ Low TSH ... 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
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Breast Discharge ... Differential Diagnosis Algorithm ... Pregnancy, Breast ... • Primary Hypothyroidism ... Differential #Diagnosis #Algorithm
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 ... if pregnant or breast
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... to Hypothyroidism ... obtain TPOAb Euthyroid ... ↓FT3/↓FT4 • Treat ... Differential #Diagnosis #algorithm
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
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