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diagnosis differential amenorrhea dermatology endocrinology generalized gynecology obgyn primary pruritus systemic diplopia doublevision interpretation ophthalmology signs symptoms tfts thyroid tsh
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... normal T4 +/- T3 ... ophthalmopathy → Graves ... → Central (secondary ... #algorithm #diagnosis
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
diffuse goiter (Graves ... thyroiditis Secondary ... TSH • ↑ Total T3 ... antibodies (TRAb) if Graves ... #causes #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Systemic and Primary Causes ... Mellitus Liver Function ... Pruritus #primary #secondary ... #causes
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Differential Diagnosis Algorithm ... for intracranial masses ... Dislocation • Functional ... Ophthalmopathy • Hyperthyroidism ... #Causes #Ophthalmology
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Differential Diagnosis Algorithm ... Mellitus Liver Function ... • Hyperthyroidism ... #Pruritus #secondary ... #causes
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism ... #Causes #OBGyn
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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