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diagnosis differential hypothyroid tsh acth adrenal alopecia amenorrhea dermatology dyslipidemia focal gynecology gynecomastia hairloss hyperlipidemia insufficiency interpretation lipidprofiles obgyn primarycare
Abnormal Serum TSH - Differential Diagnosis Algorithm Increased TSH • Hypothyroidism • Sub-clinical Hypothyroidism • Recovery from
Abnormal Serum TSH ... Differential Diagnosis Algorithm ... Thyrotoxicosis • T3 ... #Hypothyroid #Hyperthyroid ... #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... TSH, high T4 +/- T3 ... → Central (secondary ... #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 Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... thyroiditis Secondary ... TSH • ↑ Total T3 ... #causes #diagnosis ... #differential #endocrinology
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Abnormal Lipid Profiles ... Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Hypothyroid ... #Dyslipidemia #Abnormal
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Differential Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... decalvans - Secondary ... #causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... this indicates normal ... adrenal function ... Stimulation #Test #Endocrinology
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
Differential Diagnosis Algorithm ... Decreased TSH • Hyperthyroidism ... • Non-Tumor Secondary ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... Differential Diagnosis Algorithm ... estrogen: • Functional ... compression) • Hypothyroidism ... #Causes #OBGyn
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