13 results
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
Disease Hyperthyroidism ... high; in some cases ... iodine uptake Hypothyroidism ... disease course #hypothyroid ... #hyperthyroid #
Abnormal Serum TSH - Differential Diagnosis Algorithm
Increased TSH
 • Hypothyroidism
 • Sub-clinical Hypothyroidism
 • Recovery from
Differential Diagnosis Algorithm ... • Sub-clinical Hypothyroidism ... Recovery from Non-Thyroid ... Thyrotoxicosis • T3 ... #Hypothyroid #Hyperthyroid
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 (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... (low TSH, High T4 ... /T3) - Diagnostic ... concern for nodular thyroid ... #Hyperthyroid #
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm

 • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... Graves disease • Low ... Iodine Scan - Low ... • Exogenous thyroid ... Differential #Diagnosis #Algorithm
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
goiter • Toxic diffuse ... Diagnosis: • ↓ Low ... TSH • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... #causes #diagnosis
Hashitoxicosis

‘Leakage’ symptoms of active Hashimoto’s disease

- Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
during the initial hyperthyroid ... thyroiditis that causes ... hormone (hyperthyroidism ... enough of it (hypothyroidism ... Diffuse infiltration
Hypothyroidism and Hyperthyroidism - Symptoms and Signs
Hypothyroidism:
 - General - From asymptomatic to myxedema coma, “Like
down” • Low ... ophthalmoplegia) • ± Diffuse ... osculating over thyroid ... MSc @AmyChung #Hypothyroid ... #Hyperthyroid #
Hyperthyroidism - Differential Diagnosis Algorithm
High/Normal Radioiodine Uptake
 - Autoimmune Thyroid Disease:
    • Grave's
Hyperthyroidism ... Differential Diagnosis Algorithm ... Trophoblastic Neoplasm Low ... Struma Ovarii #Hyperthyroidism ... endocrinology #causes
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm

DIFFUSE
Scarring - Irreversible-biopsy required
 • Lupus
Differential Diagnosis Algorithm ... Endocrine • Hypothyroidism ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... #causes