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diagnosis dermatology endocrinology amenorrhea secondary alopecia generalized gynecology hairloss hypothyroid obgyn primary pruritus systemic focal signs symptoms thyroid
Abnormal Serum TSH - Differential Diagnosis Algorithm Increased TSH • Hypothyroidism • Sub-clinical Hypothyroidism • Recovery from
- Differential ... Diagnosis Algorithm ... • Hypothyroidism ... Thyrotoxicosis • T3 ... #Hypothyroid #Hyperthyroid
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
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... #causes #diagnosis ... #differential #
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Amenorrhea - Differential ... Diagnosis Algorithm ... Elevated FSH ... • Hyperthyroidism ... Challenge • Functional
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Diagnosis Algorithm ... Systemic and Primary Causes ... Mellitus Liver Function ... failure/uremia TSH ... #causes
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
and Focal) Differential ... Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... #causes
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Diagnosis Algorithm ... Mellitus Liver Function ... failure/uremia TSH ... • Hyperthyroidism ... #causes
Diffuse Hair Loss (Alopecia) - Differential Diagnosis Algorithm Scarring - Irreversible-biopsy required • Lupus erythematosus • Lichen
Diffuse Hair Loss ... (Alopecia) - Differential ... Diagnosis Algorithm ... contraceptives • Hyperthyroid ... #causes
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... Amenorrhea - Differential ... Diagnosis Algorithm ... estrogen: • Functional ... compression) • Hypothyroidism
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Diagnosis Algorithm ... Etiology - High FSH ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism
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