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diagnosis differential dermatology endocrinology secondary alopecia generalized hairloss hematology pruritus systemic abnormal bronchiectasis cardiology dyslipidemia focal hemolysis hemolytic htn hyperlipidemia
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
normal T4 +/- T3 ... : Work-up similar ... TSH, high T4 +/- T3 ... → Primary Hyperthyroidism ... #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 Algorithm ... #Hyperthyroidism ... #Hyperthyroid #
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... goiter • Toxic diffuse ... TSH • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... #causes #diagnosis
Hemolysis - Diagnostic Algorithm and Causes Increased red cell production: • Increased Reticulocytosis/polychromasia • Erythroid
Hemolysis - Diagnostic Algorithm ... and Causes Increased ... Urobilinogen • + urinary ... Hemolysis #Hemolytic #Anemia ... #Causes #Workup
Causes of Anemia with Normal Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Decreased WBCs - Decreased/NormaI
Causes of Anemia ... Differential Diagnosis Algorithm ... Reticulocytosis • Primary ... Cancer • Hypothyroid ... #Causes #Hematology
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... renal failure/uremia ... • Hyperthyroidism ... #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
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
Bronchiectasis: diagnosis and management Causes of localized -> diffuse bronchiectasis Foreign body, Bronchial stenosis (tumor, .. ),
management Causes ... of localized -> diffuse ... Cystic fibrosis, primary ... #Differential #workup ... #algorithm #pulmonary
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... • Hypothyroid ... Differential #Diagnosis #Algorithm
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