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diagnosis differential management endocrinology anesthesia anesthesiology nephrology intraoperative secondary hypertension alkalosis hyponatremia metabolic amenorrhea dermatology hematology cardiology chloride generalized gynecology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... normal T4 +/- T3 ... : Work-up similar ... → Primary Hyperthyroidism ... #algorithm #diagnosis
Algorithm for the diagnostic workup of hyperthyroidism. (T3 = triiodothyronine; T4 = thyroxine; TSH = thyroid-stimulating
Algorithm for the ... diagnostic workup ... of hyperthyroidism ... (T3 = triiodothyronine ... #hyperthyroidism
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 Evaluation of Secondary Hypertension • Primary aldosteronism - PRA, PAC • Renal artery stenosis - Renal
Hypertension • Primary ... metanephrines • Hypothyroidism ... - TSH, T3, fT4 ... • Hyperthyroidism ... resistant #Evaluation #workup
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup ... Algorithm • ... ↑↔TSH, ↑Total T3 ... (↓TSH, ↔Total T3 ... Differential #Diagnosis #Algorithm
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... Mellitus Liver Function ... • Hyperthyroidism ... #causes
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... low TSH, High T4/T3 ... ) - Diagnostic Algorithm ... #Hyperthyroidism ... #Workup #Endocrinology
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... TSH • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... : Reduce T4 -> T3 ... #causes #diagnosis
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Differential Diagnosis Algorithm ... Challenge • Hypothyroidism ... • Hyperthyroidism ... Challenge • Functional ... endocrinology #causes
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Differential Diagnosis Algorithm ... taken at home, work ... aldosteronism) • Hyperthyroidism ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
angiography • Primary ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... repaired) • Primary ... #Screening #Workup
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